A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 ° F
ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.
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A nurse is performing a cardiac assessment on a client with heart failure. In assessing the client's apical pulse, the nurse notes the pulse to be displaced to the left. What conclusion can be drawn from this assessment?
A. This is a normal finding. B. The heart is hypertrophied. C. The left ventricle is contracted. D. The client is experiencing pulsus alternans.
Parents express concern that their pubertal daughter is taller than the boys in her class. The nurse should respond with which statement regarding how the onset of pubertal growth spurt compares in girls and boys?
a. It occurs earlier in boys. b. It occurs earlier in girls. c. It is about the same in both boys and girls. d. In both boys and girls, the pubertal growth spurt depends on growth in infancy.
The instructor is teaching the nursing students about electronic health records (EHR). Which student statement indicates the need for further instruction?
a. "I have had EHR instruction and understand the basics of the system. If I need assistance, I will ask for it." b. "The EHR integrates the patient's health information documented by the entire healthcare team into one electronic system." c. "The EHR can track problems and errors, which can direct quality improvement efforts in a given institution." d. "I am proficient with a computer; therefore, I am completely prepared to use the EHR in any institution."
Myths are ____________________.
Fill in the blank(s) with the appropriate word(s).