Which patient being cared for in the emergency department should the charge nurse evaluate first?
a. A patient with a complete spinal injury at the C5 dermatome level
b. A patient with a Glasgow Coma Scale score of 15 on 3-L nasal cannula
c. An alert patient with a subdural bleed who is complaining of a headache
d. An ischemic stroke patient with a blood pressure of 190/100 mm Hg
A
A patient with a C5 complete spinal injury is at risk for ineffective breathing patterns and should be assessed immediately for any airway compromise. A GCS score of 15 indicates a neurologically intact patient. The patient with a subdural bleed is alert and not in danger of any immediate compromise. The goal for ischemic stroke is to keep the systolic BP less than 220 mm Hg and the diastolic blood pressure less than 120 mm Hg.
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The nurse is percussing the anterior chest of an older adult client. Which finding does the nurse anticipate for this client based on the age?
1. Flatness. 2. Dullness. 3. Tympany. 4. Hyperresonance.
To help patients manage discomfort and pain during labor, nurses should be aware that:
a. The predominant pain of the first stage of labor is the visceral pain located in the lower portion of the abdomen. b. Referred pain is the extreme discomfort between contractions. c. The somatic pain of the second stage of labor is more generalized and related to fatigue. d. Pain during the third stage is a somewhat milder version of the second stage.
A nurse is working with the community council and several representatives from the school district to find ways to address health disparities related to pregnancy in the community
They decide to use the nominal group process as a means to expedite their planning. Place the following steps in the order in which they should be followed 1. The group votes to rank the different categories in order of importance. 2. Each member brainstorms as many issues related to health disparities in pregnancy as possible and writes their ideas on small pieces of paper. 3. Make sure everyone is in agreement that they will support or agree with whatever decisions the group makes. 4. The group facilitator arranges and sorts the group ideas into different categories, usually onto a large board in the front of the room.
A patient asks the nurse about the use of information from websites for verifying diagnostic and treatment decisions made by a primary health provider. Which response, made by the nurse, would be most helpful to this patient?
1. "A computer search of the diagnosis should help you verify the accuracy of the diagnosis and treatment." 2. "You can only count on accurate and useful information if it comes from university or hospital websites." 3. "That is a dangerous practice, because it undermines your relationship with your primary health provider." 4. "You can gain general information that way, but be sure to discuss specific websites and information with your primary health provider."