A patient is brought into the emergency department after a car accident. Injuries include fractured left femur, tibia, and fibula with a mild contralateral head injury. The nurse would identify this injury pattern as consistent with which situation?
1. Unrestrained front seat passenger of a motor vehicle
2. Adult pedestrian hit by an automobile
3. Unrestrained driver of a motor vehicle
4. Child pedestrian hit by an automobile
Answer: 2
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A nurse is preparing to administer a prescribed drug via an intramuscular injection. Which of the following would be most appropriate for the nurse to do? Select all that apply
A) Always wear gloves. B) Cleanse skin at injection site. C) Place pressure on the area after removing the needle. D) Recap the needle before disposal. E) Aspirate after inserting the needle.
Using problem urgency as your framework, rank the following nursing diagnoses as low, medium, or high priority
1) low 2) medium 3) high ____ 1. Risk for Spiritual Distress ____ 2. Decreased Cardiac Output ____ 3. Chronic Confusion
A 16-year-old girl presents at the emergency department complaining of right lower quadrant pain and is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?
A) Rigid abdomen, Levine's sign, pain relief leaning forward B) Rebound tenderness, McBurney's sign, low-grade fever C) Right lower quadrant pain, Chvostek's sign, muscle guarding D) Periumbilical pain, Trousseau's sign, pain relief with pressure
A 76-year-old patient has just been admitted to the nursing unit with terminal cancer of the liver. Which of the following is the best response for the nurse who is assessing the patient's spiritual needs?
a. "I notice you have a Bible. Is that a source of spiritual strength to you?" b. "What do you believe happens to your spirit when you die?" c. "We would allow members of your church to visit you whenever you desire." d. "Has your terminal condition made you lose your faith or beliefs?"