A school nurse is treating a school-age client who has fallen down a flight of stairs. The client is breathing but unconsciousness
After calling the ambulance, which is the priority action by the nurse?
A) Open the airway using the head tilt maneuver.
B) Try to rouse the client by gently shaking the shoulders.
C) Protect the client's neck and head from any movement.
D) Place the client on the side to prevent aspiration.
Answer: C
Guidelines for emergency care are avoiding flexing, extending, or rotating the neck; immobilization of the neck; securing the head; maintaining the client in the supine position; and transferring from the stretcher with backboard in place to the hospital bed. This client is unconscious, and the nurse must protect the neck from any (or any further) damage. If the client vomits, the nurse should utilize the log-roll technique to turn the client while keeping the head, neck, and spine in alignment. The client is breathing; however, if a change in respirations were to occur, the airway should be opened using the jaw thrust maneuver. Rousing the client by shaking could cause damage to the spinal cord.
You might also like to view...
The nurse is off-duty and watching a youth baseball game when one of the players gets hit in the chest with a ball. The child immediately drops to the ground and is unresponsive. What is the priority action for the nurse to initiate?
1. Initiate CPR. 2. Call 911. 3. Find the parents and offer them comfort. 4. Check the child for hemorrhage.
A nurse is caring for a client diagnosed with antisocial personality disorder. Which factors should the nurse consider when planning this client's care? (Select all that apply.)
1. This client has personality traits that are deeply ingrained and difficult to modify. 2. This client needs medication to treat the underlying physiological pathology. 3. This client uses manipulation, making the implementation of treatment problematic. 4. This client has poor impulse control that hinders compliance with a plan of care. 5. This client is likely to have secondary diagnoses of substance abuse and depression.
A patient is suspected as having secondary hypertension. For which diagnostic tests should the nurse prepare this patient?
Select all that apply. 1. bladder scan 2. renal lithotripsy 3. renal ultrasound 4. renal arteriogram 5. intravenous pyelogram
The _____________ _______________ method for using conversion factors is a modification of the
proportion method. Fill in the blank(s) with correct word