A patient with physical injuries sustained in a gang fight has a blood pressure of 80/50 mmHg, with a pulse of 120 and thready. Which diagnostic test should the nurse expect to be performed to provide the fastest information?

A. Urinalysis
B. Complete blood count
C. Sonogram
D. Serum electrolyte levels


Answer: C

Nursing

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A client has come to a health care facility for autologous donation of blood. Which of the following is a criterion for autologous donation?

A) The client must demonstrate why conventional blood transfusions are unacceptable. B) The client must have a hematocrit that is within normal range. C) The client must prove that he or she is free from high-risk behaviors. D) The client must donate between 120 and 30 days prior to surgery.

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You are discharging a patient home after mastoid surgery. What would be included in your discharge teaching?

A) Sneeze every 4 hours to equalize pressure. B) Be sure to exercise to reduce fatigue. C) Avoid lifting anything under 10 pounds. D) Don't blow your nose for 2 to 3 weeks.

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What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?

a. Rinne test b. Weber test c. Pure tone audiometry d. Eliciting the startle reflex

Nursing

The nurse is providing preconceptional care for a primigravida client. Which of the following statements accurately represent the seven areas that need to be addressed in preconceptional care? Select all answers that apply

A) Eating a healthy diet, including 200 mcg (micrograms) of folic acid a day B) Stopping harmful or addictive behaviors, such as smoking, drinking alcohol, and drugs C) Obtaining prescriptions for alternate drugs that are safer during pregnancy D) For the diabetic woman, changing to an oral diabetic agent instead of insulin E) Referring a couple at risk of having a baby with a genetic defect for genetic testing F) Referring a couple who is having difficulty getting pregnant to a fertility specialist

Nursing