A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would the nurse expect from the driver immediately after this event?
Select all that apply.
a. Difficulty using a cell phone
b. Long-term memory losses
c. Fecal incontinence
d. Rapid speech
e. Trembling
ANS: A, D, E
Immediate responses to crisis commonly include shock, numbness, denial, confusion, disorganization, difficulty with decision making, and physical symptoms such as nausea, vomiting, tremors, profuse sweating, and dizziness associated with anxiety. Incontinence and long-term memory losses would not be expected.
You might also like to view...
When communicating with clients, which of the following would be most important for the nurse to ensure?
A) Limit setting B) Feedback loop C) Goal direction D) Nonverbal expression
Which laboratory finding is expected in the patient experiencing unstable angina?
A) Normal cardiac troponin levels B) Elevated creatine kinase MB C) Elevated myoglobin D) Elevated creatine kinase
Cultural knowledge involves learning about the clients' worldview from an emic perspective. A nurse wishes to obtain information on the alternative methods of health care her 45-year-old female client uses
Who is the best person to ask about this? 1. The husband of the client 2. A community leader of the ethnic group 3. The client herself 4. The religious leader of the ethnic group
The nurse is teaching a patient about contact lens care. Which instructions will the nurse include in the teaching session?
a. Use tap water to clean soft lenses. b. Wash and rinse lens storage case daily. c. Reuse storage solution for up to a week. d. Keep the lenses is a cool dry place when not being used.