A patient is admitted into the emergency department with the complaint, "I burned my hand. I didn't realize the stove top was still so hot." The palmar surface of the hand is blistered, red, and blanches
What type of burn does the nurse document this patient has?
A) Superficial
B) Deep partial thickness
C) Superficial partial thickness
D) Full thickness
C
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A client with a history of having several myocardial infarctions has excessive filling of the ventricles as a result. What physiologic response would the nurse expect to see manifested in this client?
A. Excessive LVED (left ventricular end-diastolic) volume and decreased cardiac output B. Reduced LVED volume and increased cardiac output C. Excessive impedance of the left ventricle D. Reduced impedance of the left ventricle
A nurse working in a privately owned hospital is charged with a negligent act after failing to check laboratory reports prior to giving a dose of digoxin (Lanoxin) . .
. . . resulting in the patient's condition becoming critical due to decreased cardiac output and falling leading to a broken hip and concussion. A nurse is brought in who testifies that a professional with the knowledge and skill of an RN should understand that, before administering this drug, potassium level and pulse level is always checked to prevent such an occurrence. The nurse's testimony as to what constitutes reasonable care is based on: a. the legal definition of standard of care. b. the legal definition of the informed consent process. c. the doctrine of res ipsa loquitur. d. governmental immunity.
A 33-year-old female admitted with bipolar disorder, manic phase, is loud, garishly dressed, hy-perverbal, and hyperactive. Which of the principles should the nurse apply when planning care?
1. Manic clients respond well to peer pressure. 2. Decreasing stimulation tends to diminish symptoms. 3. Increasing stimulation tends to focus the client. 4. Detailed activities will help the client control behavior.
Which precautionary measure should the nurse take if assigned to visit a client in a high-crime neighborhood?
1. Consult the client as to the best time to visit. 2. Notify the nursing supervisor upon arrival at the client's home. 3. Obtain a permit to carry a concealed weapon. 4. Request to be accompanied by a security officer.