A nurse is assisting paramedics at the site of a large accident with many injured people. During the initial response, it is especially important to
A. Notify the media so they can assist in informing the community of what happened.
B. Triage victims according to the severity of their injuries.
C. Interview victims and witnesses to determine what happened.
D. Notify clergy and mental health professionals to assist survivors at the site.
ANS: B
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The nurse is assessing the eyes of an 82-year-old client. Which of the following findings are expected by the nurse based on the client's age?
1. The client is easily able to read from a paper held at close range without corrective glasses. 2. There is a noticeable increase in fat within the orbit of the eye. 3. The client states that she feels her tear production has increased over the years. 4. The pupillary light reflex is slower bilaterally.
Select the most appropriate comment by the nurse when a depressed patient says, "What's the use in going on?"
a. "Are you thinking about suicide?" b. "I am not sure I understand what you are saying." c. "Keep your hope alive. It's always darkest just before light." d. "Tell me more about your activities before you got depressed."
The nurse is expected to assess a client for the presence of pathological reflexes. Which of the following reflexes should the nurse plan to assess? Select all that apply
1. Babinski 2. Grasp 3. Snout 4. Sucking 5. Achilles
The age range for an infant is defined as which of the following time spans?
a. newborn to 3 months c. 1 month to 1 year b. newborn to 6 months d. 3 months to 15 months