A patient who was found unconscious in a burning house is brought to the emergency department by ambulance. The nurse notes that the patient's skin color is bright red. Which action should the nurse take first?
a. Insert two large-bore IV lines.
b. Check the patient's orientation.
c. Assess for singed nasal hair and dark oral mucous membranes.
d. Place the patient on 100% oxygen using a non-rebreather mask.
ANS: D
The patient's history and skin color suggest carbon monoxide poisoning, which should be treated by rapidly starting oxygen at 100%. The other actions can be taken after the action to correct gas exchange.
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The nurse is caring for clients with spinal deformities. Which type of deformity would the nurse prioritize as having the most significant consequences on the respiratory system?
A) Kyphosis B) Spinal fusion C) Scoliosis D) Lordosis
A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child
The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother? A) Place the toddler in day care. B) Suggest the father take time off to help. C) Ask extended family members to help out during this time. D) Visit with the patient after the father comes home from work.
Teenage pregnancy may affect the broader family dynamics. Which of the following is a typical result?
A. Families draw closer as they confront this new family crisis. B. The family usually kicks the young girl out of the household. C. Siblings of the teenage mom love being able to play with the new baby. D. The new grandparents have unexpected economic and emotional pressure.
A pregnant client diagnosed with hydramnios asks for more information about this health problem. What should the nurse include in this teaching? Select all that apply
1. The exact cause is unknown. 2. It can cause shortness of breath and edema. 3. It can be associated with maternal diabetes. 4. It occurs in large-for-gestational-age infants. 5. It is associated with renal malformation or dysfunction.