A child is brought to the emergency department with severe frostbite. Which body parts should be warmed first?
a. Hands and arms
b. Feet and legs
c. Fingers and toes
d. Head and torso
ANS: D
In extreme cases of exposure to freezing temperatures, the head and torso should be warmed before the extremities.
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The Health Information Technology for Economic and Clinical Health (HITECH) Act has mandated the use of electronic medical records by the year 2015 . What is the penalty for non-compliance and not becoming a "meaningful user"?
a. Medicare and Medicaid reimbursement will be reduced b. fines for nonusing electronic medical records c. increase in potential for medical errors d. inability to file Medicare and Medicaid claims electronically
A patient who is also a nurse is being treated for anxiety with a selective serotonin reuptake inhibitor. She asks about the rationale for use of this agent rather than a benzodiazepine. Which of the following is the nurse's best response?
a. "Selective serotonin reuptake inhibitors are better for the control of bodily symp-toms than benzodiazepines." b. "Selective serotonin reuptake inhibitors provide a more rapid and durable re-sponse to the uncomfortable anxiety symptoms." c. "Benzodiazepines currently have no role in the treatment of anxiety." d. "Selective serotonin reuptake inhibitors are better for reducing the cognitive and psychic symptoms of anxiety than benzodiazepines."
A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
a. Administer the chemotherapy between meals. b. Give an antiemetic before chemotherapy begins. c. Have the child bring favorite foods for snacks. d. Keep the child NPO (nothing by mouth) until nausea and vomiting subside.
The nurse should recognize which as an early sign of distributive shock?
a. Hypotension b. Skin warm and flushed c. Oliguria d. Cold, clammy skin