An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene. This patient should be treated at which level trauma center?
a. Level I
b. Level II
c. Level III
d. Level IV
A
Because the patient is hypotensive and was unrestrained, the patient is at higher risk for more severe injuries related to the mechanism of injury; thus, treatment should occur at a level I trauma center. Patients with less severe injuries can be treated at lower level trauma centers.
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A 1-month-old infant is admitted to the Emergency Department with severe diarrhea. Which of the following assessments suggests the infant is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry 2. Low specific gravity of urine; skin color pale 3. Fontanels depressed; capillary refill greater than three seconds 4. High specific gravity of urine; moist mucous membranes
The nurse is planning care for an older patient with chronic illnesses. After formulating nursing diagnoses, what will guide the nurse when selecting interventions for the patient's care? Standard Text: Select all that apply
1. Intervention linked to the desired outcome 2. Acceptance of the intervention to the patient 3. Assurance that the intervention is appropriate 4. Knowledge, experience, and skill of the nurse 5. Applicability of the intervention to teaching
The nurse is teaching a new diabetic client how to give himself an insulin injection. Which of the following domains would be used?
a. Developmental b. Cognitive c. Affective d. Psychomotor
The parent of a child receiving HIB vaccine asks about the potential development of serious adverse effects. The nurse should inform the parent that:
1. meningitis is a common side effect. 2. serious side effects have not been reported with the use of this vaccine. 3. headache and seizures are the most common side effects. 4. all of the potential side effects of other vaccines are expected with HIB vaccine.