J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot stepladder, striking
his head on a large rock. He experienced a momentary loss of consciousness.
By the time his neighbor
got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. the
neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply
a cervical collar, lay him on a stretcher, and take J.R. to a treatment room.
What steps will you take to assess J.R.?
First assess the CABs (circulation, airway, breathing), then perform the neurologic examination and
determine the extent of disability. Evaluate the scalp laceration.
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Each infection must be carefully evaluated to determine the specific causative organism and the therapy that will be most effective against it. How is this usually done?
a. Stool examination b. Scraping of lesions c. Incubation of discharge from lesions d. Culture and sensitivity studies
A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the 4-month-old was exposed to a brother who has the flu. In this case, the nurse will:
1. Withhold the vaccinations. 2. Give the vaccinations as scheduled. 3. Withhold the DTaP vaccination, but give the others as scheduled. 4. Give the infant the flu vaccination, but withhold the others.
A 5-year-old child was diagnosed with encopresis. Which assessment finding would the nurse expect associated with this diagnosis? The child:
a. frequently smears feces on clothing and toys. b. experiences frequent nocturnal episodes of bedwetting. c. has accidents of defecation at kindergarten three times a week. d. has occasional episodes of voiding accidents at the day care center.
Jessica is a recent nursing graduate who was able to secure a position on the postsurgical unit where she completed the final preceptorship of her baccalaureate degree
Jessica has just received word that there will be sweeping changes in the organization of care on the unit, a development that she finds intimidating since she has only recently become adept at working in the existing system. How should Jessica best respond to this news? A) Elicit support from nurses who support maintaining the existing system B) Learn as much as she can about the proposed system C) Research alternatives to the change that has been proposed D) Express her concerns about the proposed change to the nurse manager