Clients with head injuries should be placed in which of these positions?
a. dorsal recumbent c. semi-Fowler's
b. prone d. side-lying
C
A client with head, neck, or spinal cord trauma should be immobilized. A client with head injury should be placed in a semi-Fowler's position to decrease risk of bleedings and to reduce intracranial pressure (ICP).
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An ICU nurse, in testing the reflexes of a 3-month-old baby girl, strokes the lateral aspect of the sole of the foot to test for possible nerve damage. In response, the child fans her toes and dorsiflexes her big toe
What is the name of this reflex, and is the child's response normal? A) Moro reflex; abnormal B) Rooting reflex; normal C) Grasp reflex; abnormal D) Babinski reflex; normal
Which entry by the nurse demonstrates the most accurate and safe documentation of patient care?
a. "Sm. amt. of emesis." b. "150 mL of cloudy dark yellow urine." c. "Had a good day." d. "Looks bad."
A toddler, age 16 months, falls down a few stairs. He gets up and "scolds" the stairs as if they caused him to fall. What is this an example of?
a. Animism b. Ritualism c. Irreversibility d. Delayed cognitive development
Identify the true statement about antiseptics, disinfectants, and antibiotics.
A. Antiseptics and disinfectants are not intended for internal use, but antibiotics are expected to reach the bloodstream to be effective. B. Antibiotics are frequently targeted at a specific microorganism, whereas antiseptics and disinfectants are used to eliminate multiple organisms at a time. C. Antiseptics, disinfectants, and antibiotics eliminate microorganisms. D. All of these are correct.