A restrained patient's status after a motor vehicle crash includes dyspnea and complaints of severe chest pain. Upon assessment you note that he does not have any femoral pulses. Which of the following complications and related diagnostic test should be considered?

A. Aortic dissection and aortogram
B. Cardiac tamponade and pericardiocentesis
C. Hemothorax and chest x-ray
D. Pulmonary contusion and chest x-ray


Answer: A. Aortic dissection and aortogram

Nursing

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A patient receiving blood after an abdominal surgery notified the nurse that the IV pump was alarming. The nurse checked the pump and determined that the tubing was kinked. The tubing was straightened out and the nurse left the room

Five minutes later the IV pump again alarmed. The nurse returned to find the tubing was again kinked. On further investigation, the nurse dis-covered that the IV tubing had become twisted. This is an example of which behavior on the part of the nurse? a. Effective problem solving b. Diagnostic reasoning c. Scientific method d. Commitment level of critical thinking

Nursing

A client has developed a nosocomial cystitis. Which of these organisms MOST commonly causes cystitis?

a. Candida albicans c. Escherichia coli b. Clostridium d. Streptococcus aureus

Nursing

The nurse notes that a child with a burn injury is prescribed daily debridement. What should the nurse instruct the child and parents about the purpose of this treatment?

A) Relieves pain B) Prevents infection C) Maintains mobility of extremities D) Decreases the need for skin grafts

Nursing

The best method to effectively combat iatrogenic malnutrition in the long term is by:

1. Estimating the client's energy expenditure 2. Carefully recording the patient's weight at regular intervals 3. Ordering a complete nutritional supplement for poor eaters 4. Encouraging clients to clean their plates

Nursing