During the impact stage of response to a violent crime, which nursing interventions would be appropriate for a victim? Select all that apply
a. Provide physical safety.
b. Use empathetic responses.
c. Distract the patient with humor.
d. Provide clear, simple directions.
e. Support expression of feelings.
A, B, D, E
Because the individual experiences disorganization during the impact stage, the nurse must provide for safety and security via use of empathy, encourage expression of feelings, and provide simple clear directions. Humor might be helpful in the reorganization stage, not the impact stage.
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The nurse is caring for a patient who is being treated with quinine (Qualaquin) for drug-resistant malaria. The nurse will monitor the patient for cinchonism that will present with what manifestations?
A) Diarrhea, nausea, and fever B) Yellowing of the sclera and skin C) Tremors and ataxia D) Vomiting, tinnitus, and vertigo
What should the nurse do because of the increasing strength of the dose in the injections for immunotherapy?
a. Observe the patient for at least 20 minutes after administration b. Take the vital signs every 10 minutes for an hour c. Have the patient lie down quietly for an hour d. Place a warm compress on the area to speed its absorption
An 88-year-old male patient is suffering from urosepsis. The immune response which predominates is the:
A) Mitigated B) Nonspecific C) Cellular D) Humoral
The nurse is caring for a patient who has presented to the ER with chest pain. Which diagnostic test will best indicate if there is significant blockage of certain important blood vessels that provide oxygen to the heart muscle?
a. Cardiac catheterization b. Chest x-ray c. Echocardiogram d. Electrocardiogram