The nurse is caring for a client who received an electrical shock. What is the most appropriate initial action for the nurse?
a. Immediately start CPR.
b. Turn off or remove the electrical source.
c. Assess the client's pulse and respiration.
d. Notify the physician.
ANS: B
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An older adult who has Alzheimer's disease exhibits new behavior including shouting in the hallways and hallucinations
Rank the nursing interventions in order, beginning with the first intervention the nurse should implement in response to the new behavior. a. Review the medication list for potential causes. b. Plan nursing care to promote a trusting relationship. c. Look for likely causes for psychotic manifestations. d. Consult with health care provider about medications.
The process in which certain goals must be achieved during each stage of the life cycle and that set the stage for future learning is known as:
a. cognitive abilities c. developmental tasks b. critical learning d. physical development
Before inserting a nasogastric tube, the nurse reassures the client. Reassuring the client requires which type of nursing skill?
1) Psychomotor 2) Interpersonal 3) Cognitive 4) Critical thinking
When re-warming a hypothermic patient, the nurse can expect to:
A) Assess oral temperature frequently B) Provide continuous electrocardiogram (ECG) monitoring C) Administer unwarmed oxygen D) Find a strong pulse