Which intervention is most likely to achieve the expected outcome of preventing deteriora-tion in neurologic status in a client with a vertebral fracture?
A. Reorient the client to time, place, and person, as needed.
B. Administer the Mini-Mental Status Examination.
C. Immobilize the affected portion of the spinal column.
D. Reposition the client every 2 hours.
C
The nurse keeps the client in optimal body alignment at all times (avoiding flexion and extension at the site of vertebral injury) to prevent further cord injury or irritability from bone fragments. A brace, traction, or external fixation may be used for this purpose.
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A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches
The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because A) there is a 40% increase in blood volume during pregnancy. B) the mother's heart rate is 10 to 15 beats per minute faster during pregnancy. C) drugs compete with the hormones of pregnancy for albumin-binding sites. D) hemodilution of plasma albumin occurs.
A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg, and is estimated to have lost 7% of her normal body weight. The nurse is double-checking the IV rate the physician has ordered
Replacement fluid is the percentage of lost body weight x 10 per kg of body weight. According to the calculation for maintenance and replacement fluid, this child's hourly IV rate for 24 hours should be _______. Fill in the blank(s) with correct word
There are several environmental hazards affecting human health. What would be one way the nurse could reduce the effects of a physical hazard on humans?
A) Encourage the use of ear plugs during NASCAR races. B) Encourage the use of microwave ovens in place of gas ranges. C) Remove standing water to reduce the mosquito population. D) Remove dead plants in gardens to prevent destruction of adjacent plants.
While the hemogram of a patient taking hydroxyurea (Droxia) for sickle cell disease is being monitored, which laboratory result would prompt an urgent call to the patient's hematologist?
a. Hemoglobin, 5.8 gm/dL b. Platelet count, 95,000/mm3 c. Reticulocytes, 70,000/mm3 d. Neutrophil count, 2600/mm3