The nurse is working at a first aid booth for a spring training game on a hot day. A spectator comes in, reporting that he is not feeling well. Vital signs are temperature 104.1° F (40
1° C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to a cot. What is the priority action of the nurse? a. Encourage drinking of cool water or sports drinks.
b. Sponge the victim with cool water and remove his shirt.
c. Administer Tylenol (acetaminophen), 650 mg orally.
d. Encourage rest, and reassess in 15 mi-nutes.
B
The spectator shows signs of heat stroke, which is a medical emergency. The spectator should be transported to the emergency department as quickly as possible. The nurse should take actions to lower his body temperature in the meantime by removing his shirt and sponging his body with cool water. Lowering body temperature by drinking cool fluids or taking acetaminophen is not as effective in an emergency situation. The client needs to be cooled quickly and is a priority for treatment.
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a. Visual hallucinations and delusions b. Unilateral tremors and muscle rigidity c. Good memory and visuospatial problems d. Failing memory and clumsy movements
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a. Start on medication to treat hypertension b. Only keep fruits and vegetables in the house to avoid eating junk foods c. Increase daily exercise and not worrying about occasional binges with fast food. d. Attend a behavior modification class to learn new coping strategies to help resist eating when stressed.
The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?
a. "Perhaps your child was misdiagnosed." b. "Your observation indicates the medication is effective." c. "Tics often change frequency or severity. That doesn't mean they aren't real." d. "This finding is unexpected. How have you been administering your child's medication?"
A client's insurance company has coverage for DME. Which of the following client needs would be covered under this clause?
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