Which of the following interventions should be performed during the primary survey for trauma? (Select all that apply.)
A. Removal of wet clothing
B. Splinting of open fractures
C. Initiating IV fluids
D. Endotracheal intubation
E. Foley catheterization
F. Needle decompressionG. Laceration repair
H. Rectal examination
A, C, D, F
Rationale: The primary survey for a trauma client organizes the approach to the client so that life-threatening injuries are rapidly identified and managed. The primary survey is based on the standard mnemonic ABC, with an added D and E. A, airway and cervical spine control, B, breathing, C, circulation, D, disability, E, exposure. After completion of the primary diagnostic studies, laboratory studies, and insertion of gastric and urinary tubes, the secondary survey, a complete head to toe assessment can be carried out.
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A) Health-seeking behaviors related to adjusting to parenthood B) Risk for impaired parenting related to hospitalization of infant C) Disturbed maternal sleep pattern related to infant's feeding schedule D) Deficient knowledge related to normal infant growth and development
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A client tells a nurse that she refuses to eat in a restaurant because she is afraid others will laugh at the way she eats. The nurse understands that this behavior is associated with which condition?
A) Posttraumatic stress disorder B) Generalized anxiety disorder C) Social phobia D) Obsessive–compulsive disorder
In which of the following situations would the nurse most likely use active surveillance?
a. A newspaper wants to know the incidence of asthma in the community. b. A real-time ongoing communication channel is established to monitor a particular symptom. c. Several children become ill with GI upset at one local school. d. The nurse is asked to report the incidence of a specific nonreportable common problem in the community.