To aid in preventing shock in a patient who has internal bleeding from blunt injury to the spleen, the nurse should implement which of the following measures?
1. place the patient in the Semi-Fowler position
2. prepare for performing peritoneal lavage
3. prepare for starting a dopamine infusion
4. establish intravenous access with large-bore catheters
4
Rationale: A nurse should establish at least two intravenous accesses with large-bore needles for quick administration of crystalloids and blood or blood products to treat traumatic hypovolemic shock. Placing the patient in the Semi-Fowler position is counterproductive. Instead, the patient should be placed in a modified Trendelenburg's position to increase perfusion of the brain. Peritoneal lavage is a diagnostic test to check for intra-abdominal bleeding and will not aid in preventing shock. Vasopressors, such as dopamine, should not be used until adequate fluids resuscitation has been implemented and failed to treat shock.
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Which of the following study types would require the largest sample size?
a. Correlational b. Experimental c. Grounded theory d. Phenomenology
A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose
What care should the nurse prepare to provide to this patient? (Select all that apply.) A) Administer prescribed oral antibiotic. B) Wash the deciduous teeth with saline to be wired into place. C) Instruct the parents and the child that the jaw will need to be wired shut. D) Explain that an X-ray may be done to make sure that the jaw was not fractured. E) Explain that a chest X-ray will be done to make sure that other teeth are not in the lungs.
A patient diagnosed with schizophrenia says, "I am a reincarnation of Jesus. I can raise the dead." The most qualified person for the nurse to refer the patient would be a
a. psychiatric nurse clinician. b. professional chaplain. c. clinical psychologist. d. community minister.
You recently acquired a position as a unit manager
During your time on the unit, you have formed a strong social network among your staff, have promoted the development of relationships between your staff and workers in other areas of the organization, and have formed relationships that generate ideas from patient organizations and the local nursing education program. According to complexity theory, you are engaging which principle? a. Empowerment b. Systematic thinking c. Development of networks d. Bottom-up interactions