A child experiences frostbite of the fingers after prolonged exposure to the cold. Which intervention should the nurse implement first?
a. Rapid rewarming of the fingers by placing in warm water
b. Placing the hand in cool water
c. Slow rewarming by wrapping in warm cloth
d. Using an ice pack to keep cold until medical intervention is possible
ANS: A
Rapid rewarming is accomplished by immersing the part in well-agitated water at 37.8° to 42.2° C (100° to 108° F). The frostbitten area should be rewarmed as soon as possible to avoid further tissue damage. Rapid rewarming results in less tissue necrosis than slow thawing.
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Order: Vancomycin 40 mg/kg/d divided into q.6h. doses IV. The manufacturer recommends reconstituting 500 mg vial with 10 mL, yielding 50 mg/mL. How many milliliters will you administer for each dose if the client weighs 90 lb?
1. 180 mL 2. 18 mL 3. 8.2 mL 4. 3.4 mL
The nurse is caring for a patient who is at risk for developing cerebral vasospasm. The nurse recognizes which order as inappropriate for this patient?
1. Discontinue IV fluids when tolerating fluids. 2. Monitor serum electrolytes daily. 3. Hold antihypertensive medications. 4. Monitor blood pressure hourly.
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-year-old child is:
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What visible skin change of the breast does she have?
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