Which of the following is crucial in the treatment of the patient with a significant head injury?
A) Administration of valium
B) Repeat assessments
C) Intubation
D) Hyperventilation
Ans; B) Repeat assessments
You might also like to view...
You are caring for an 84-year-old male who has just returned from the operating room (OR) after inguinal hernia repair. You note the patient has fluid volume excess from the OR and is at risk for left-sided heart failure
What signs and symptoms indicate left-sided heart failure? A) Jugular vein distention B) Right upper quadrant pain C) Bibasilar fine crackles D) Dependent edema
Which of the following statements is true concerning anti-arrhythmic drugs?
A. Amiodarone is the only one not associated with increased mortality and it has a very favorable side effect profile. B. Both long-acting and short-acting calcium channel blockers are associated with an increased risk of cardiovascular morbidity and mortality. C. Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly toxic. D. Anti-arrhythmic therapy should be initiated in the hospital for all patients.
A nurse is treating the pressure ulcer of an African American client. How would the nurse assess for deep tissue injury in this client?
A) Upon inspection the nurse would notice a purple or maroon localized area of discolored, intact skin. B) Upon inspection, the nurse would see a blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. C) Upon palpation, the nurse determines that the area preceded by deep tissue injury is painful, firm, boggy, warmer or cooler as compared with adjacent tissue. D) Upon inspection the nurse notes partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough.
The nurse is providing care for a client who is 18 years old. Which of the following ethical principles should be implemented for this client?
1. Liberty 2. Agency 3. Justice 4. Autonomy