A client is brought into the emergency department after being in a motor vehicle accident. The client has suffered traumatic injury that may involve multiple body systems. Which is the priority nursing assessment for this client?
A) Breathing and ventilation
B) Circulation with hemorrhage control
C) Airway maintenance with cervical spine protection
D) Disability and neurological assessment
Answer: C
When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.
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Which situations would the nurse interpret as indicating the client has a true substance dependence problem rather than a substance abuse issue?
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An older patient who has been diagnosed with hearing loss asks the nurse what caused the condition. What is the nurse's best response? Select all that apply.
1. "Hearing loss occurs in all patients as they get older." 2. "Sometimes hearing loss is caused by nerve damage in the ear." 3. "If earwax is impacted, it may cause conductive hearing loss." 4. "Middle-ear infections may be the cause of hearing loss." 5. "If your eardrum has burst, you may develop hearing loss."
A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader?
a. Obtain a baccalaureate degree in nursing, b. Complete 5 years on a medical-surgical unit, c. Obtain critical care experience, d. Obtain a graduate degree,
The client is being treated with Atorvastatin (Lipitor). He tells the nurse that he has been self-medicating at home with antacids. The nurse anticipates that the interaction of the two drugs will produce a(n) _____ effect from the _____
a. increased; Atorvastatin (Lipitor) b. decreased; Atorvastatin (Lipitor) c. increased; antacids d. decrease; antacids