The nurse in an emergency department admits a 17-year-old girl who is complaining that she has a gap in her memory of the previous night. She says she only had one drink but felt dizzy and disoriented
She woke up in a friend's bed but has no recollection of getting there. What would be the first action the nurse should take?
A) Call Social Services to counsel her about blackouts related to alcohol abuse.
B) Call Neurology so they can see her to rule out a neurologic impairment.
C) Have the patient call her parents to get their permission to treat and counsel her.
D) Complete a rape kit in case she has been abused while under the influence of Rohypnol.
D
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The nurse is preparing to analyze a patient's electrocardiogram (ECG) rhythm strip. In which order should the nurse complete this analysis? Place the six steps in the correct order.Choice 1. Determine rate.Choice 2. Assess P wave.Choice 3. Determine regularity.Choice 4. Identify abnormalities.Choice 5. Assess P-to-QRS relationship.Choice 6. Determine interval durations.
Fill in the blank(s) with the appropriate word(s).
You share your feelings with your client, whose second kidney transplant is failing and who is unable to verbalize feelings. You say, "I feel sad, too. Having two transplants fail is very hard."
Which nursing theorist believed that relating to clients in an authentic manner meant sharing one's feelings and thoughts appropriately? 1. Travelbee 2. Watzlawick 3. Satir 4. Peplau
A patient starting a weight loss session should be counseled that weight loss has which benefit(s)? You may select more than one answer
1. It reduces blood pressure in hypertensive patients. 2. It prevents type 1 diabetes. 3. It increases high-density lipoproteins. 4. It reduces glucose in persons with type 2 diabetes. 5. It increases low-density lipoproteins
The nursing diagnosis most pertinent to the child with nephrotic syndrome is:
a. risk for bleeding. b. growth and development, altered. c. elimination, altered: urinary retention. d. nutrition, altered: more than body requirements.