The nurse in the emergency department caring for a client with an anterior dislocation of the knee should have as a priority the assessment of
a. capillary refill of the toes.
b. degree of misalignment in the limb.
c. degree of pain in the joint.
d. mobility in the affected limb.
A
Anterior dislocation of the knee is a medical emergency. Neurovascular status must be assessed carefully because displaced bone may tear vessels, impede circulation, and damage nerves. While all assessments above are pertinent, neurovascular status takes priority.
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An unconscious patient is brought to the emergency department by ambulance for trauma treatment
The patient is wearing a sweat-stained John Deere cap, a denim shirt worn out in the elbows, dirty bib overalls covered with patches, work boots worn thin, and ragged underclothes. Several staff laugh as they stabilize the patient, and one remarks, "Farmer John must have fallen off the tractor.". The most appropriate action for the charge nurse is to say: a. "So he's a farmer—get over it. Thank him for your food and move on.". b. "You are violating this man's right to be treated with respect, and it stops now.". c. "Grow up and do your jobs; I think you have all seen poor people before.". d. "Perhaps you could find an outlet for humor that's not at a patient's expense.".
The nursing process is based on:
1. the medical diagnosis of the patient. 2. identified physiological and psychological needs of the patient. 3. standards of nursing care provided by the American Nurses' Association. 4. orders of the primary care provider.
A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands that which of the following is the rationale for this treatment?
A) PaCO2 levels decrease, causing vasoconstriction. B) Drainage of cerebrospinal fluid occurs. C) Activity is controlled via a stimulator. D) Hyperexcitability of the nerves is reduced.
Pablo underwent a major surgery a few months ago where certain portions of his stomach were surgically removed. Following the surgery, Pablo developed a form of anemia and started experiencing weakness and a "pins and needles" sensation in certain parts of his body. His doctor advised him to take monthly injections of cobalamin for the rest of his life. Based on the information provided in this scenario, Pablo was most likely diagnosed with ________.
A. normocytic anemia B. microcytic hypochromic anemia C. aplastic anemia D. pernicious anemia