The trauma nurse has arrived at the site of a major accident and is assessing several clients with extremity injuries. Which injury requires immediate intervention by the nurse?
A) An open displacement fracture of the femur
B) A dislocated hip with associated tibial fracture
C) A penetrating injury of the right hand
D) A contusion of the left arm with diffuse ecchymosis
A) An open displacement fracture of the femur
Explanation: A) An open displacement fracture of the femur is located next to a major artery. Therefore, this injury requires immediate intervention by the nurse.
B) While the other injuries require intervention, these conditions are not potentially life-threatening.
C) While the other injuries require intervention, these conditions are not potentially life-threatening.
D) While the other injuries require intervention, these conditions are not potentially life-threatening.
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A patient presents with extremely tight, shiny skin over the hands and face. There is also a lack of nasolabial folds and blank facial expression. This is a common sign of:
A. Bell's palsy B. Trigeminal neuralgia C. Scleroderma D. Hypothyroid myxedema
Nurses can help the family develop useful day-night routines; that is, help the infant tell the difference between day and night by suggesting all of the following except:
1. save the crib or bassinet for nighttime sleep. 2. feed the baby for the last evening time around 11 PM. 3. keep a small nightlight on to avoid turning on bright lights. 4. play with the baby during nighttime feedings to tire the baby out for more, longer sleep.
Which of the following statements is an accurate guideline for applying a waist restraint?
A) Place the patient in a prone position to apply the restraint. B) Remove the clothing on the upper body and reapply over the restraint. C) Insert the fist between restraint and patient to ensure that breathing is not constricted. D) Assess the patient at least every 2 hours or according to facility policy, as required.
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step 2 when he states which of the following?
A) "I've admitted to myself and others the wrongdoings I've done." B) "I realize that there is a higher power that can help me." C) "I know now that I am powerless over alcohol." D) "I am making amends to all those that I've harmed."