The nurse knows that in advanced cardiac life support, the secondary survey includes steps A-B-C-D where "D" refers to:
a. defibrillate.
b. differential diagnosis.
c. diltiazem intravenous push.
d. do not resuscitate.
B
The A-B-C-D (airway, breathing, circulation, differential diagnosis) in the Advanced Cardiac Life Support (ACLS) secondary survey involves the performance of more in-depth assessments and interventions. Differential diagnosis involves investigation into the cause of the arrest. If a reversible cause is identified, a specific therapy can be initiated.
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When speaking with a client who has a mental illness, the nurse uses medical terminology and is condescending. This type of behavior negates the basic rules of negotiating a behavioral contract and:
1. Encourages the client to ask questions. 2. Causes the client to feel uncomfortable with the contract. 3. Appropriately introduces the client to important terminology. 4. Helps the client understand behavioral contracts on his/her terms.
The nurse is providing care to a preschool-age patient. Which is an age-appropriate social activity for this patient?
1) Board games 2) Jump rope 3) Word games 4) Ring around the rosy
A nurse has been ordered to provide a tap water enema to a client who has constipation. The nurse asks the student nurse about the different types of enemas
Which is the best response by the student nurse about what type of enema is a tap water enema? A) Purgative enema B) Carminative enema C) Anthelmintic enema D) Soap suds enema
Which of the following is most descriptive of the spiritual development of the older adolescent?
a. Beliefs become more abstract. b. Rituals and practices become increasingly important. c. Strict observance of religious customs is common. d. Emphasis is placed on external manifestations, such as whether a person goes to church.