A 45-year-old client is admitted to the critical care unit following a serious motor vehicle accident. A nurse performing the initial assessment is aware that major complications may include: Select all that apply.

A) Bleeding
B) Wounds
C) Multisystem organ failure
D) Sepsis
E) Shock


B) Wounds
C) Multisystem organ failure
D) Sepsis
E) Shock

Nursing

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In the outermost portion of the injured area, there is minor cell damage; this area is referred to as the zone of hyperemia. What provides blood flow to the zone of hyperthermia?

1. Vasoactive mediators 2. Fibrinolysis mediators 3. Coagulation mediators 4. Tissue mediators

Nursing

The nurse should teach the woman that the best way to ensure her baby of an adequate supply of breast milk is for her to:

a. Eat a diet high in protein. b. Eat a diet high in fat. c. Empty her breasts with each feeding. d. Increase her fluid intake.

Nursing

Which of the following interventions should the nurse plan to use to reduce client focus on delu-sional thinking?

1. Confronting the delusion 2. Focusing on feelings suggested by the delusion 3. Refuting the delusion with logic 4. Exploring reasons the client has the delusion

Nursing

Describe the objective of using anesthesia during surgical procedures.

A. Rapid, smooth induction and maintenance of the patient in Stage III B. Rapid, smooth induction and maintenance of the patient in Stage IV C. Rapid, smooth induction and maintenance of the patient in Stage II D. None of these are correct.

Nursing