A nurse who is assisting in disaster triage following a severe hurricane finds a client who has experienced a massive head injury from flying debris. In which of these categories would the nurse place this client?
a. immediate c. minimal
b. delayed d. expectant
D
Disaster triage systems are used in the event of a community disaster, either natural or man-made. A different approach to categorizing clients is required because of the potential for large numbers of casualties. Immediate care is given to clients with simple injuries requiring immediate care. Delayed care is provided for clients with multiple injuries requiring extensive care. Minimal care is given to clients with minor injuries. Expectant care is provided for clients with severe injuries likely to lead to death.
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To effectively plan care for Asian American clients, a nurse should be aware of which cultural factor?
1. Obesity and alcoholism are common problems. 2. Older people maintain positions of authority within the culture. 3. "Tai" and "chi" are the fundamental concepts of Asian health practices. 4. Asian Americans are likely to seek psychiatric help.
What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply.)
a. Cultural beliefs b. Values c. Habits d. Income e. Occupation
The nurse is planning care for a client with diabetes. What should the nurse encourage the client to do?
1. Eat a diet high in carbohydrates. 2. Clean foot wounds with hydrogen peroxide. 3. Decrease fluid intake. 4. Obtain a yearly flu vaccination.
A nurse is caring for a group of clients with antisocial and borderline personality disorders. In planning care for these clients, the nurse should remember that:
Select all that apply. A) These clients are very motivated to change. B) Personality traits are deeply ingrained and difficult to modify. C) Medications are available to treat the underlying physiological disturbance. D) Use of manipulation by the clients makes treatment difficult. E) Poor impulse control hinders compliance with plan of care. F) Secondary diagnoses of substance abuse and depression are common.