While shopping in the mall, the nurse sees a lady fall suddenly to the floor. On immediate assessment, the nurse realizes this is not a cardiac arrest and she has no need for CPR. The immediate actions by the nurse are to:
1. check pulse and respirations, and call for a blood pressure cuff.
2. check pulse, respirations, skin color, and temperature.
3. call for help and check pulse, respiration, and mental status.
4. have someone help place large blankets or coats under the legs and trunk.
3
Shock treatment requires expert medical implementation. However, the nurse may provide first-line support until such help arrives. Circulatory collapse has to be monitored first; pulse, respiration, and mental status should be assessed to evaluate whether oxygen is reaching the brain.
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How should a beginning nursing student perform deep palpation of a client's liver?
a. by applying short jabs to the area with the palm b. by exerting slight pressure over the area with the fingertips c. by placing the heels of both hands over the area and pressing downward d. only under an instructor's supervision
The student nurse is attending a lecture about commitment to the profession of nursing. The instructor is grading the student's commitment to nursing during this rotation
Which action by the student indicates commitment of the nursing profession? A) Calls in sick for clinical to study for a class exam B) Declines to observe a new procedure to give a necessary bath C) Misses class to attend a political rally D) Calls in sick for clinical because of a respiratory infection
Which statement tells you that your patient is prone to yo-yo dieting or weight cycling to control her obesity?
a. "I tried the grapefruit diet first, then switched to the Scarsdale diet and lost 5 or 6 pounds." b. "I try to go walking after breakfast and play tennis or swim after dinner each night, but I don't always make it." c. "Two years ago, I lost 20 pounds with the Weight Watchers program, and now I'm back in the program trying to lose 30 pounds." d. "I've tried fasting 1 day a week but found that using the sauna is the best for taking off a couple of pounds."
The nurse believes that a physician's order written at the end of a shift is contrary to the accepted standard of care and could potentially harm the patient. What should the nurse do?
1. Ask the nurse manager what to do. 2. #the physician regarding the order. 3. Let the next shift make the decision regarding implementation of the order. 4. Complete the order as directed.