What sign is one of the first to indicate overwhelming sepsis in a child with burn injuries?
a. Seizures
b. Bradycardia
c. Disorientation
d. Decreased blood pressure
ANS: C
Disorientation in the burn patient is one of the first signs of overwhelming sepsis and may indicate inadequate hydration. Seizures, bradycardia, and decreased blood pressure are not initial manifestations of overwhelming sepsis.
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The nurse is caring for a client with vital signs 97.2 °F; 112; 48; 104/86; and oxygen saturation is 76%. Place the nursing actions in order of their priority for this client
Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Assess the client. Response 2. Reduce client anxiety. Response 3. Notify the health care provider. Response 4. Obtain assistance from another nurse or member of the team. Response 5. Administer oxygen.
A nurse would like to advocate for a modification of the state's nursing practice act and believes the best strategy is to contact the persons with authority to write and change this statutory law. Whom should the nurse contact?
1. State board of nursing 2. State governor 3. State legislature 4. State nursing association
Qualitative research, in comparison to quantitative research, aims to?
a. Establish cause and effect of relationships b. Explore the depth, richness and complexity in a phenomena c. Focuses on a small number of specific concepts d. Uses language in a way that implies neutrality
As a nurse inserts a nasogastric (NG) tube, a patient gags and coughs continually and does not appear able to stop. The nurse should
1. Tape the tube to the patient's naris. 2. Continue to insert the tube quickly. 3. Immediately remove the tube completely. 4. Use a flashlight and tongue blade to view the posterior pharynx.