A 4-year-old child is brought to the emergency department by his mother. He has a large bruise in his left chest and multiple contusions on his face. His mother tells you her boyfriend intentionally pushed the child down the stairs in anger
The child appears to be in a great deal of pain. Which of the following four correct items should the nurse to do first?
1) Notify the nursing supervisor of the suspected physical abuse.
2) Complete a physical assessment of the child.
3) Obtain an order for pain medication.
4) Notify Child Protective Services of the suspected abuse.
ANS: 2
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A depressed patient who is taking a tricyclic antidepressant tells the nurse, "I don't think I can keep taking these pills. They make me very dizzy, especially when I stand up.". The best nursing response is:
a. "That is annoying, but it is something most patients are able to learn to live with as time goes on. You'll get used to the medicine's side effects.". b. "The medicine can slow the body's adjustment of blood pressure when changing position; drinking more fluids and changing position slowly can help.". c. "Compared to the problems caused by the depression, it seems like a relatively small annoyance to have to put up with.". d. "All medicines have side effects, and this one is relatively mild. It could be that your depression is causing you to think negatively about the medicine.".
According to the U.S. Department of Labor, occupation-related musculoskeletal disorders are illnesses or injuries of what? (Mark all that apply.)
A) Nerves B) Cartilage C) Tendons D) Arteries E) Veins
Which of the following statements made by an older adult client alerts the nurse to the possibility of medication errors?
A. "My husband is on the same medication, so we always take our medications to-gether in the morning." B. "I prepare all my medication for the week and place the pills in a container labeled for each day." C. "When I don't sleep well at night, I take two thyroid pills the next day instead of just one." D. "I take my Coumadin every day when the noon news comes on the television."
Which statement is MOST true about neurotransmitters?
a. Each neurotransmitter essentially functions in an entirely different manner. b. Most neurotransmitters consistently act in either an inhibitory or excitatory manner. c. Excitatory and inhibitory neurotransmitters are structurally comparable. d. Neurotransmitters act in an interchangeable fashion with each other.