The nurse sees a neighbor fall and break a leg. What should the nurse do first for the neighbor?

a. Assess pain.
b. Immobilize the affected limb using minimal movement.
c. Transport to an emergency department.
d. Cover site of open fracture with clean dressing.


ANS: B
For emergency care of a suspected fracture, do not try to reposition the limb. Splint it as it lies and ensure that the limb is secured above and below the break to minimize movement and bone grating. Then cover site, transport, and assess pain level.

Nursing

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Pharmacological treatment of delirium is most likely to include which medication?

A. Antidepressants B. Tranquilizers C. Antipsychotics D. Stimulants

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A school-age client with type 1 diabetes mellitus wants to know why the medication is in an injection instead of a pill. Which response should the nurse make to this client?

a. "The type of medication you need depends on your blood sugar levels, and yours meet the criteria for insulin." b. "Medications available in pill form can be used for type 1 diabetes if the treatment is started early enough in the disease." c. "Younger clients diagnosed with diabetes are prescribed insulin because it is long lasting and easier to keep track of than pills." d. "Medications available in pill form only work if your body makes some insulin, and in type 1 diabetes the cells that make insulin do not work."

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A patient is receiving vasodilator therapy for hypertension. To counter the increase in blood volume caused by prolonged vasodilator therapy, the patient should be concurrently receiving what drug?

a. Intravenous normal saline to increase the fluid volume b. A diuretic to prevent sodium and water retention c. A beta-adrenergic blocker (if the patient has a history of heart failure) d. Nesiritide (Natrecor) to increase preload

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A patient hospitalized for 6 days has made little progress toward outcomes written at the time of admission. The nurse decides that the lack of progress toward goals indicates that

a. needs for reassessment exist. b. discharge should be delayed. c. nursing diagnoses were incorrect. d. nursing interventions were inadequate.

Nursing