The nurse is participating in an educational program concerning nuclear disasters. Which factor(s) determine(s) a victim's level of exposure to radiation? (Select all that apply.)
a. Age of the victim
b. Body surface area of the victim
c. Length of exposure
d. Distance of the victim from the nuclear source
e. Shielding of the victim from the nuclear source
C, D, E
The amount of damage to each person depends on the type of radiation, the dose received, the length of time of exposure, and the route of the exposure. Time, distance, and shielding are key to the quantity of radiation an individual will receive. The shorter the time of exposure, the farther away from the radiation source, and whether or not the person was shielded by materials that are impermeable to radiation are details pertinent to radiation risk.
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Your patient is receiving postoperative analgesic through a patient-controlled analgesia (PCA) pump. You have given the patient a bolus of an opioid medication. You should prioritize the assessment of what potential problem?
A) Sedation B) Respiratory depression C) Fluid overload D) Changes in their skin integrity
After a posterior nasal pack is inserted by the physician, the client is very anxious and states, "I don't feel like I'm breathing right." The immediate intervention the nurse would initiate is
a. collect a specimen for arterial blood gases (ABGs). b. cut the pack strings and pull the packing out. c. inspect the client's oral cavity using a flashlight. d. reassure the client that this is normal discomfort.
A client has just delivered her third child, who was stillborn and had obvious severe defects. Which statement by the nurse is most helpful?
1. "Thank goodness you have other children." 2. "I am so happy that your other children are healthy." 3. "These things happen. They are the will of God." 4. "It is all right for you to cry. I will stay here with you."
A nurse is caring for an adult patient who is NPO. The patient is refusing oral care. Which of the following is an appropriate response by the nurse?
A. "Since you are not eating, we can wait and do it before bedtime." B. "Oral care is still important even though you are not eating." C. "I'll give you a sip of water to swish around in your mouth, and then you can spit it out." D."We will wait until your family gets here to help."