A small nuclear weapon has been detonated in a nearby city. For which immediate symptoms of radiation sickness will the nurse assess in patients who have been exposed?
1. Dilated pupils and aggression
2. Nausea, vomiting, and diarrhea
3. Weight loss and fatigue
4. Anorexia and fatigue
Correct Answer: 2
Rationale: The immediate symptoms of radiation sickness include nausea, vomiting, and diarrhea. Weight loss and fatigue are late symptoms of radiation sickness. Anorexia and fatigue are not signs of radiation sickness. Dilated pupils and aggression are not signs of radiation sickness.
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What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
a. Ask, "Is this your band number?" b. Confirm room number of mother. c. Ask the mother to identify herself verbally. d. Check the band number of the infant with that of the mother.
After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
The nurse manager knows that maximum power will be needed to achieve a desired change and has identified a key person on the organizational chart who will be affected by the change. What is important for the nurse manager to do?
1. Try to minimize the impact of the change when talking to this person. 2. Bypass this person and talk to the administrator who supervises him or her. 3. Pay attention to the people above and below this person on the organizational chart. 4. Try to find some information against this person to use as leverage.
A client, who wishes to preserve childbearing, asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?
A) "Symptoms of endometriosis are increased during normal menstrual cycle." B) "Contraceptives will allow blood to be diverted to the peritoneal cavity." C) "Trapping blood causes less pain or discomfort for clients with endometriosis." D) "Endometriosis is usually cured with surgical menopause."