For the patient in hemorrhagic (hypovolemic) shock, the most important nursing action is to:
a. Administer replacement electrolytes orally or by IV
b. Administer adequate fluid/blood volume IV
c. Place the patient on cardiac monitor to observe for signs of electrolyte abnormalities
d. Monitor urinary output as a measure of fluid volume status
Answer: b. Administer adequate fluid/blood volume IV
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A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?
a. Conducting passive range-of-motion exercises b. Exposing the patient to auditory and visual stimuli c. Interacting with the patient as if he is responding d. Including the patient in a variety of milieu activities
A client with a burn injury is prescribed mechanical debridement of the wounds. Based on this data, which should the nurse include in the client's plan of care?
Select all that apply. A) Homograft B) Application of a topical agent to dissolve necrotic tissue C) Irrigation of the burn wounds D) Application of wet-to-dry gauze dressings E) Hydrotherapy
Which route of pain medication administration provides the MOST rapid onset of pain relief?
a. intramuscular c. oral b. intravenous d. transdermal
All states have requirements that children receive immunizations or vaccinations against communicable diseases before they attend school
Some parents request that their child be exempt from the required immunizations for medical, religious, or philosophical reasons. What action might a school nurse take related to this request? The nurse: 1. Will deny entry into school for children without the required immunizations 2. Must educate the parents about the need for immunizations 3. Should be aware of the laws in the state regarding acceptable reasons for immu-nization exemption 4. Should allow the student to attend school without the immunizations