The results of a primary survey reveal that a victim of a motor vehicle crash has an open airway, is breathing, and is conscious but bleeding heavily from severe leg injuries. For which complication should the nurse plan care for this client?
a. Anaphylaxis
b. Hemothorax
c. Cardiogenic shock
d. Hypovolemic shock
ANS: D
Hypovolemic shock may occur from a decrease in the circulating blood volume from the bleeding. A. Anaphylaxis is associated with an allergic response. B. Hemothorax is associated with chest injuries. C. Cardiogenic shock is associated with myocardial tissue damage.
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NANDA is the acronym for:
A. New American Nursing Diagnosis Association. B. National American Nursing Diagnosis Association. C. North American Nursing Diagnosis Analyzer. D. North American Nursing Diagnosis Association.
Which of the following is important information for the nurse to provide to a group of manual laborers in a class on prevention of back pain?
A) Avoid lifting more than one-third of body weight without assistance B) Focus on using back muscles during lifting C) Lift objects while holding the object away from the body D) Tighten the abdominal muscles and lock the knees during the lifting of an object
The nurse is assessing a patient who underwent bowel resection 2 days ago. As she auscultates the patient's abdomen, she notes low-pitched, infrequent bowel sounds. How should she document this finding?
1) Hyperactive bowel sounds 2) Abdominal bruit sounds 3) Normal bowel sounds 4) Hypoactive bowel sounds
During your transition from student nurse to your first position as a staff nurse, your general an unit orientation are a key component of the transition
Which of the following questions would be most appropriate for you to ask about orientation? a. How long should I expect to be in orientation? b. How will I be paid for my time in orientation? c. Do I have to attend every orientation session? d. Will I be graded during the orientation?