A patient is brought to the Emergency Department with a gunshot wound to the chest. The healthcare professional assesses an abnormality involving a pleural rupture that acts as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration. What action by the healthcare professional is the priority?
a. Draw arterial blood gasses.
b. Assist with a chest tube insertion.
c. Give the patient low-flow oxygen.
d. Assess for clubbing of fingernails
Answer: b. Assist with a chest tube insertion.
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An unconscious patient is brought to the emergency department by ambulance for trauma treatment
The patient is wearing a sweat-stained John Deere cap, a denim shirt worn out in the elbows, dirty bib overalls covered with patches, work boots worn thin, and ragged underclothes. Several staff laugh as they stabilize the patient, and one remarks, "Farmer John must have fallen off the tractor.". The most appropriate action for the charge nurse is to say: a. "So he's a farmer—get over it. Thank him for your food and move on.". b. "You are violating this man's right to be treated with respect, and it stops now.". c. "Grow up and do your jobs; I think you have all seen poor people before.". d. "Perhaps you could find an outlet for humor that's not at a patient's expense.".
When a nurse administers an anticholinergic drug, it is important to assess for symptoms associated with inhibition of
a. spinal nerve function. b. the central nervous system. c. the sympathetic nervous system. d. the parasympathetic nervous system.
The nurse is educating a coworker on the ethical principle of beneficence. The nurse judges the teaching to be effective when her coworker states:
a. "Beneficence involves allowing patient to make their own health care decisions.". b. "Beneficence is the duty to actively do good for patients.". c. "Beneficence is the duty to do no harm.". d. "Beneficence involves treating all patients equally.".
The nurse is preparing to assess a client with internal hemorrhoids. Which finding should the nurse associate with the condition?
A. Redness. B. Pain. C. Bleeding without stool. D. Swelling.