Which assessment would you complete first?
a. Assessing ability to move the extremities
b. Determining pupil response to light
c. Auscultating breath sounds
d. Testing the peripheral reflexes
c
Although all of the actions would be assessment components, because of the risk of compromised
respiratory status, the nurse would auscultate T.W.'s lung sounds first.
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A nurse manager in the intensive care unit (ICU) notes a pattern for a staff nurse who excessively "wastes" narcotics, and the manager suspects the staff nurse may be impaired
Which clinical situation may have contributed to the staff nurse's problem? A) Caring for clients who require IV medications B) Easy access to prescription drugs C) Easy access to client care areas D) Caring for clients who require numerous oral medications
The nursing students are doing clinical hours on the burn unit. A nurse is developing a care plan for a patient with a partial-thickness burn, and determines that an appropriate goal is to maintain position of joints in alignment. A nursing student asks why this goal is important when the patient is fighting for his life. What should the burn nurse respond?
A) To prevent neuropathies B) To prevent wound breakdown C) To prevent contractures D) To prevent heterotopic ossification
A preadolescent client seen in the emergency department after falling from a balance beam in physical education class is complaining of lower leg pain. Which of the following should be considered for this client?
1. Muscle tears 2. Ligament sprain 3. Limb fracture 4. Tendonitis of the lower limb
Which medication will be prescribed for a patient complaining of muscle spasms resulting from a back injury?
a. Acetaminophen (Tylenol) b. Morphine sulfate c. Bethanechol (Urecholine) d. Cyclobenzaprine (Flexeril)