What intervention has the greatest priority?
a. Obtaining a STAT toxicology screen
b. Connecting her to the portable ECG monitor
c. Establishing an IV line with 0.9% normal saline
d. Supporting respirations by manually ventilating her
d
Providing airway and ventilatory support takes priority in all patients with respiratory difficulty.
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The nurse received report from a previous shift. One of her clients was reported to have a history of basilar skull fracture with otorrhea. What assessment finding does the nurse anticipate?
A) The client has cerebral spinal fluid (CSF) leaking from the ear. B) The client has ecchymosis in the periorbital region. C) The client has an elevated temperature. D) The client has serous drainage from the nose.
What are the fluid compartment consequences of hypertonic overhydration?
A. ECF compartment volume contracts, ICF volume contracts B. ECF compartment volume contracts, ICF volume remains the same C. ECF compartment volume expands, ICF volume contracts D. ECF compartment volume expands, ICF volume remains the same
Which of the following is most similar in action to oxymetazoline hydrochloride (Afrin)?
a. pseudoephedrine HCl c. phenylephrine HCl b. dexchlorpheniramine d. diphenhydramine HCl
A clinic nurse is planning to teach a group of clients procedures for administering their own medications. The two types of objectives the nurse will use to help clarify learning include which of the following?
a. Behavioral and terminal c. Cognitive and terminal b. Affective and sequencing d. Terminal and enabling