A patient with injuries from an explosion at a nuclear power plant is confused and keeps repeating "I'm on fire." What does this information indicate to the nurse?
A. There is bone marrow damage, and the patient needs oxygen for the confusion.
B. There is gastrointestinal system involvement and the patient will survive if he receives fluids.
C. The patient may not recover.
D. The patient's clothing is burning his skin.
Answer: C
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A child goes to the school nurse and complains of not being able to hear her teacher. What test could the school nurse perform to make a general estimate of hearing loss?
A) Chiming clock test B) Rinne test C) Whisper test D) Weber test
A patient with a spinal cord injury complains to the nurse of the inability to experience an erection. The nurse explains, "The ____ component of the nervous system has been affected by your injury."
1. sympathetic 2. somatic 3. parasympathetic 4. cerebral cortex
The student nurse is learning to write PICOT questions. What elements does the student include? (Select all that apply.)
a. C: Cost b. I: Intervention c. O: Outcome d. P: Place e. T: Time element
The nurse is caring for a 13-year-old client who is in labor. What actions should the nurse take to support this client's needs? Select all that apply
1. Provide simple and concrete explanations. 2. Stay with the client during the labor process. 3. Provide soothing encouragement during the transition phase. 4. Provide positive reinforcement with a nonjudgmental manner. 5. Remain calm and provide clear directions during the second stage.