The nurse using the memory prompt for emergency care, ABCDE, is aware that the "E" stands for:
a. end.
b. execute.
c. expedite.
d. expose.
D
The "E" stands for expose. This reminder is to assist the first responder to assess for other injuries that may be hidden under clothing.
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A patient with chronic obstructive pulmonary disease is hospitalized for respiratory distress and has improved. She becomes very anxious when experiencing shortness of breath
One evening she is found to be restless and disorganized in her behavior and conversation. Which of the following should be considered first in determining the possible causes of these changes? a. She is becoming more anxious as her respiratory status worsens. b. The multiple neurocognitive changes may be due to hypoxia. c. Her anxiety is increasing due to fears of decreasing independence. d. She is exhibiting early signs of dementia due to chronic hypoxia.
If the patient tells the nurse, "I'm not an alcoholic. I can stop whenever I want to," the nurse's most therapeutic response is:
a. "Well, why don't you?" b. "Hasn't alcohol use interfered with your employment?" c. "A positive attitude like that is a good start." d. "What would you call alcoholism?"
The nurse percusses a client's lung and hears a dull sound throughout the left lung. What does the nurse suspect based on this assessment finding?
1. Emphysema 2. Pneumothorax 3. Pneumonia 4. Hyperinflation of the lung
The nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder. The nurse should remind the nursing assistant that the tissue could become more damaged if she:
1. positions the patient on the left side. 2. massages the reddened area. 3. cleans the area with mild soap and water. 4. positions the patient in a prone position.