The client is brought to the emergency department with severe facial trauma from a fist fight. What is the nurse's priority in caring for this client?
A. Assessing for manifestations of a fractured skull
B. Assessing for a patent airway
C. Controlling facial swelling
D. Preserving vision
B
Upper airway obstruction is common with severe facial trauma from soft tissue edema and can be life threatening.
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While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of a closed chest-drainage system. What should the nurse conclude?
A) The system is functioning normally. B) The patient has a pneumothorax. C) The system has an air leak. D) The chest tube is obstructed.
The nurse caring for a patient who has just had an arteriovenous (AV) access created in his right forearm this morning should assess: (Select all that apply.)
a. for a bruit on auscultation of the AV site. b. capillary refill in the left hand. c. blood pressure in the right arm. d. adequate elevation of the right arm. e. clotting of the AV access.
A 10-year-old boy is two days post-op, following the resection of a pituitary tumor. The nurse is providing post-operative care and notices that he is having enuresis, extreme thirst, and urinating frequently
Based on these clinical manifestations, the nurse suspects that he might be experiencing which condition? 1. Diabetes mellitus 2. Syndrome of Inappropriate Antidiuretic Hormone (SIADH) 3. Diabetes insipidus 4. Acute glomerulonephritis
Managed care is a term for a variety of health arrangements that integrate financing and the delivery of health care. Two types of managed care are
1. Medicare 2. Medicaid 3. Medical Savings accounts 4. Health maintenance organizations and preferred provider organizations