An 8-year-old near-drowning victim is rushed into the ED. What priorities of care will be implemented? (Select all that apply.)
a. Parental education regarding prevention
b. Respiratory support
c. Cardiovascular support
d. Controlled rewarming
e. Adequate cerebral oxygenation
ANS: B, C, D, E
Respiratory and cardiovascular support, controlled rewarming, and maintenance of adequate cerebral oxygenation are priorities of care. The parents should be offered support, explanations of the therapy, and referral to social services, religious, or community agencies for follow-up.
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A client with bipolar disorder tells the nurse, "I am thinking of switching to an alternating day/night shift because it pays more and will give me more time with my children
" The nurse's reply should be based on the knowledge of which of the following? 1. The client's priority is steady employment. 2. The client should contact the nurse if prodromal symptoms of the bipolar disorder occur. 3. Disruptions in biologic rhythms can impact the client's bipolar disorder. 4. Biologic rhythms do not influence mood disorders.
A nurse is caring for a woman on a continuous IV of magnesium sulfate. Which actions are appropriate for patient safety? (Select all that apply.)
A. Administer the bolus from the main bag, then change to the maintenance rate. B. Double-check each new bag and dose/rate change with another nurse. C. Ensure that a supply of romazicon (Flumazenil) is available in the patient's room. D. Perform handoff report at the bedside, verifying the dose and orders by both nurses. E. Place color-coded tags on each IV line, bag, and pump to label them clearly.
Which of the following is most important for the nurse to understand when evaluating the strength of a research study?
a. Level 5 evidence implies that specific quality criteria was met. b. Level 1 evidence implies an association with specific criteria. c. Level 1 evidence implies that specific quality criteria was met. d. Level 5 evidence implies an association with specific criteria.
Post transplant a client is required to take immunosupressive medications. These medications make the client prone to the development of infections and what other condition?
a. arthritis c. cancers b. autoimmune disord-ers d. neuromuscular dis-orders