A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2011. When is it most important for the nurse to screen for signs and symptoms of post-traumatic stress disorder (PTSD)?
a. Immediately upon return to the United States from Afghanistan
b. Before departing Afghanistan to return to the United States
c. One year after returning from Afghanistan
d. Screening should be ongoing
ANS: D
PTSD can have a long lag time, of months to years. Screening should be ongoing.
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Upon a patient's admission to the nursing unit, the registered nurse delegated to the nursing assistive personnel to take her vital signs. What is the registered nurse's responsibility regarding delegating this task?
a. This is inappropriate delegation; the nurse should always take the vital signs. b. Have the NAP repeat the measurement if vital signs appear abnormal. c. The nurse should review and interpret the vital sign measurements. d. This task has been delegated so the nurse is not responsible.
The neonatal intensive care nurse is caring for a neonate born at 36 weeks of gestation in an incubator. Which actions should the nurse plan to assure adequate skin care for the neonate? (Select all that apply.)
a. Changing any adhesives every 12 hours b. Removing adhesives or skin barriers slowly c. Using an adhesive remover when removing tape d. Applying emollient as needed for dry, flaking skin e. Using cleanser or soaps no more than two or three times a week
A client is taking Saint John's wort and an SSRI. The nurse observes the client for which symptoms? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Mania 2. Confusion 3. Renal failure 4. Tachycardia 5. Hypertension
When doing a neurovascular assessment on an individual with a fracture, which of the following is most important when assessing pulses? a. Press over the area of the pulse with one or bothof the first two fingers
b. Palpate pulses distal to the injury; comparebilaterally. c. Enquire about feelings of numbness or tingling. d. Have the individual move the area distal to the injury.