A patient arrives in the emergency department with a sucking wound to the left chest. What is the first action the nurse should take?
a. Place several layers of gauze dressing over the wound
b. Place the patient in a supine position
c. Cover the wound with an airtight dressing taped on three sides
d. Turn the patient to the left side
ANS: C
Sucking chest wounds should be dressed with a flutter dressing so that air can escape the pleural space, but no more air can be sucked in.
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A patient has a colostomy in the descending (sigmoid) colon and wishes to control bowel evacuation and possibly stop wearing an ostomy pouch. To help achieve this goal, nurse should teach the patient to:
1) Call the primary care provider if the stoma becomes pale, dusky, or black. 2) Limit the intake of gas-forming foods such as cabbage, onions, and fish. 3) Irrigate the stoma to produce a bowel movement on a schedule. 4) Avoid returning to the use of an ostomy appliance if he becomes ill.
A patient is diagnosed with benign prostatic hypertrophy. The nurse realizes that this patient's blood pressure should be closely measured to determine what?
1. whether the patient can tolerate doxazosin mesylate (Cardura) 2. whether surgery is indicated 3. the volume of urine being retained in the bladder 4. the dose of finasteride (Proscar)
A riverfront community builds a retaining wall to divert flood water away from the town. Which term describes what has happened?
a. Mitigation b. A natural disaster c. Community resilience d. Rapid needs assessment
The nurse was teaching the client how to plan his diabetic diet. The client explained that he was on the road a lot and ate in truck stops where they did not serve that kind of food
Furthermore, his mom and dad had both died of diabetic complications, and he already knew he probably would also. What is the nurse's best action? A. Explain why the client might have to change careers and be more optimistic. B. Recognize that the client has a present time orientation and stop wasting effort on teaching him about a diet he will not follow anyway. C. Review the client's priorities and see what compromises in nutrition might be possible in his job. D. Try to help the client see the importance of planning for the future.