While on a camping trip, a nurse cares for an adult client who had a drowning incident in a lake and is experiencing agonal breathing with a palpable pulse. Which action should the nurse take first?
a. Deliver rescue breaths.
b. Wrap the client in dry blankets.
c. Assess for signs of bleeding.
d. Check for a carotid pulse.
ANS: A
In this emergency situation, the nurse should immediately initiate airway clearance and ventilator support measures, including delivering rescue breaths.
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A 32-year-old woman who takes oral contraceptives is to undergo surgery and as a result will be on bed rest for 48 hours. The patient may be at an increased risk of developing:
A) Deep vein thrombosis B) Intermittent claudication C) Raynaud's disease D) Thoracic aneurysm
In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common
Which statement best describes that purpose? a. To promote family unity b. To ward off the "evil eye" c. To appease the gods of fertility d. To protect the mother and fetus during pregnancy
While documenting care provided to a patient in the home, the nurse encounters a problem with the electronic medical record. Which action indicates that the nurse was able to troubleshoot and address the problem?
1. Followed the steps in the technical difficulties guide and completed documentation 2. Closed the electronic medical record and documented care in a traditional hard-copy note 3. Telephoned the information technology department and reported a problem with the system 4. Used the patient's personal computer to access the electronic record to record documentation
The nurse explains that neuroleptic drugs such as chlorpromazine (Thorazine) are very effective in treating specific symptoms of schizophrenia. Which effect(s) should chlorpromazine have? (Select all that apply.)
a. Eliminating hallucinations b. Stimulating effective interpersonal rela-tionships c. Enabling organized thought d. Increasing activity level e. Eliminating delusional systems