Inspection
What will be an ideal response?
"Concentrated Watching" Requires good lighting, adequate exposure and the occasional use of instruments.
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A 13-year-old is being admitted to the ED after falling from a roof and sustaining blunt abdominal injuries. To assess for internal injury in the patient's peritoneum, the nurse should anticipate what diagnostic test?
A) Radiograph B) Computed tomography (CT) scan C) Complete blood count (CBC) D) Barium swallow
What is the priority nursing intervention for the child with ascending paralysis as a result of Guillain-Barré syndrome (GBS)?
a. Immunosuppressive medications b. Respiratory assessment c. Passive range-of-motion exercises d. Anticoagulant therapy
The nurse interviews a 28-year-old patient with a new medical diagnosis of endometriosis. Which question is appropriate? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. "Are you having hot flashes?" 2. "Are you experiencing pain during intercourse?" 3. "Is a vaginal discharge present?" 4. "Are you having pain during your period?" 5. "Have you noticed any skin rashes?"
A patient is prescribed 25 mg by intravenous (IV) push of a drug that is a known chemical irritant. The drug vial contains 100 mg/mL of the drug
To reduce the risk for chemical trauma when administering this drug, what is the nurse's best action? a. Immediately after injecting the drug by IV push, apply firm pressure over the site for 1 minute. b. Dilute the drug with 9.75 mL of an appropriate solution before administration. c. Apply a cold compress to the IV site for 10 minutes before administering the drug. d. Apply a cold compress to the IV site for 10 minutes after administering the drug.