An adult client assaults another client and is placed in restraints at 1345 hours. Which statement should a nurse further assess while the client is in restraints?
A) "I hate all of you!"
B) "My fingers are tingly."
C) "You wait 'till I tell my lawyer."
D) "It was John who started it. He should be in here."
B
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A nurse is caring for a patient who has undergone neck resection with a radial forearm free flap. The nurse's most recent assessment of the graft reveals that it has a bluish color and that mottling is visible
What is the nurse's most appropriate action? A) Document the findings as being consistent with a viable graft. B) Promptly report these indications of venous congestion. C) Closely monitor the patient and reassess in 30 minutes. D) Reposition the patient to promote peripheral circulation.
Which characteristic about pain would the nurse most consider when developing a pain management plan for a patient with chronic lower back pain?
a. An objective experience that disrupts daily living that can be measured with altered vital signs b. An unpleasant sensory and emotional experience association with actual or potential tissue damage, or described in terms of such damage c. A generalized response of the body as a result of trauma or damage to the tissues resulting in discomfort d. An emotional response to tissue damage that differs significantly from one individual to another
A child is brought to the emergency department after ingestion of a toxic substance. The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior. The nurse will anticipate administering
a. activated charcoal. b. an anticholinergic antiemetic. c. gastric lavage. d. syrup of ipecac.
After a hurricane, the nurse is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed, and several members of the community are living in shelters and are homeless
One of the foremost priorities of the committees is to establish: A) Ecumenical centers for long-term worship B) Home repair resources C) POD emergency supply centers D) Financial aid centers