What assessment data should be collected first from a client admitted to the emergency department with a lacerated radial artery from a lawn mower accident?
A. Information regarding next of kin to notify in case the client dies
B. History about what medications the client is currently taking
C. Measurement of blood pressure, pulse, and capillary refill time
D. Assessment of rate and depth of respiration to ensure that the airway is patent
B
In establishing an emergency database, assessment first focuses on the immediate problem, espe-cially with a high probability for a life-threatening consequence.
You might also like to view...
After receiving the morning report, the nurse prioritizes care needed by several clients. Which factors should the nurse keep in mind when creating this priority list? Select all that apply
A) Client condition B) Safety C) Time available D) Client preferences E) Time of day
For diagnostic and treatment purposes, nurses should know the birth weight classifica-tions of high risk infants. For example, extremely low birth weight (ELBW) is the desig-nation for an infant whose weight is:
a. Less than 1500 g. b. Less than 1000 g. c. Less than 2000 g. d. Dependent on the gestational age.
An office assistant tells the nurse his job requires him to work at his computer 7 to 8 hours each day. What preventive information should the nurse provide to the patient?
a. Wear protective goggles. b. Wear corrective eyeglasses. c. Rest his eyes every 2 hours. d. Irrigate his eyes every day.
A patient recovering from abdominal surgery is refusing hydromorphone (Dilaudid) because she has heard that it may be addictive. She is crying and rates her pain at 10 out of 10. What statements should the nurse include as part of the patient's education?
Select all that apply. 1. There is little to no risk of addiction when taking narcotics for pain. 2. Untreated pain can result in poor wound healing. 3. Patients with uncontrolled pain have an increased risk of blood clots. 4. Dehydration can result from poorly managed pain. 5. Family members will not want to visit patients showing visible signs of pain.