Four patients arrive at the emergency department at the same time. Which patient will the nurse see first?
a. An infant with temperature of 102.2° F and diarrhea for 3 days
b. A teenager with a sprained ankle and excessive edema
c. A middle-aged adult with abdominal pain who is moaning and holding her stomach
d. An older adult with nausea and vomiting for 3 days with blood pressure 112/60
ANS: A
The infant should be seen first. An infant's proportion of total body water (70% to 80% total body weight) is greater than that of children or adults. Infants and young children have greater water needs and immature kidneys. They are at greater risk for extracellular volume deficit and hypernatremia because body water loss is proportionately greater per kilogram of weight. A teenager with excessive edema from a sprained ankle can wait. A middle-aged adult moaning in pain can wait as can an older adult with a blood pressure of 112/60.
You might also like to view...
The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy? (Select all that apply.)
a. Showing off her sonogram photos b. Ambivalence about pregnancy c. Emotional and labile mood d. Focusing on her infant e. Fatigue
When describing organ donation to a family of a dying child, which of the following would the nurse include in the discussion?
A) Telling them that they are responsible for organ procurement expenses B) Having them sign a written informed consent for the donation C) Including this topic in the discussion of impending death D) Informing the family that organ donation will delay the funeral
Workmen preparing to paint have set up equipment near the emergency department entrance and have taken down all the signage. What is the primary reason the nurse manager is concerned when this is mentioned in the shift report?
1. Inappropriate signage can result in loss of federal funding. 2. Patients and families may get lost if signs are not present. 3. Fumes from paint can impair the breathing ability of patients with lung disorders. 4. The presence of painting equipment is a fall hazard for patients and nurses.
The ability of the body to digest protein occurs at different levels depending on the source of the protein. What is the approximate protein digestibility for soy and legumes?
A) 85% B) 90% C) 95% D) 100%