The emergency-room nurse receives a 3-year-old child who was hit by a car. The nurse's priority interventions are to which of the following? (Select all that apply.)
1. Perform a rapid head to toeassessment
2. Record the parents'insuranceinformation
3. Assess airway,breathing,andcirculation
4. Ask the parents about organdonation
5. Ask the parents if anyone witnessedthe accident
Answer:1,3
Rationale: Assessing airway,breathing,and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known.Recording insurance information is necessary but should never come before lifesaving assessment and intervention.Detailed information about theaccident is helpful in determining the child's point of impact with the car and mechanism of injury,but this is not the initial priority.
Implementation
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A 77-year-old man is brought to the emergency department with a cholinergic overdose. The nurse knows that older adults are likely to have a greater number of adverse drug effects for what reason?
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How does an interdisciplinary approach to patient treatment enhance care?
a. By improving efficiency of care b. By reducing the number of caregivers c. By preventing the fragmentation of patient care d. By shortening hospital stay
Which of the following, if any, has structured a voluntary and confidential medication error reporting system that regularly publishes analyses and recommendations?
1. Joint Commission 2. The Food and Drug Administration (FDA) 3. The Institute for Safe Medication Practices (ISMP) 4. All of the above