During a motor vehicle accident, a patient sustained blunt trauma to the head and face, resulting in hairline skull fracture and a LeFort III maxillofacial fracture
The patient also bruising across the chest and upper abdomen and multiple small superficial bleeding abrasions and lacerations. On admission to the emergency department, what is the nursing care priority?
A) Apply direct pressure to bleeding areas.
B) Assess neurologic status.
C) Perform endotracheal intubation.
D) Administer tetanus booster immunization.
C
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A nurse working in a geriatric clinic sees clients with "cold" symptoms and rhinitis. Which drug would be appropriate to teach these clients to take for their symptoms?
a. Chlorpheniramine (Chlor-Trimeton) b. Diphenhydramine (Benadryl) c. Fexofenadine (Allegra) d. Hydroxyzine (Vistaril)
A patient has been taking psyllium (Metamucil) 2 to 3 times daily for several days. The patient complains of stomach pain but has not had a stool. What will the nurse do?
a. Ask the patient to drink a full glass of water. b. Give another dose of the psyllium. c. Request an order for a bisacodyl (Dulcolax) suppository. d. Palpate the patient's abdomen and auscultate for bowel sounds.
A staff member who is unlicensed assistive personnel (UAP) is overheard saying that a patient with a mental illness is not really "sick." Which response should the nurse make to the UAP?
1. "Patients with mental illness believe they are ill." 2. "A mental illness disrupts thinking and daily functioning." 3. "Mental illnesses are more debilitating than physical illnesses." 4. "Since so few people have mental illnesses, it really does not matter."
A patient regained 15 lbs. that had been lost the previous year. What should the nurse suggest to this patient?
A. Switch to a new diet in which the weight could be lost again in two weeks. B. Consider the possibility that the patient's body needs to have the extra 15 lbs. C. Return to the diet, exercise, and behavior change techniques that worked before. D. Understand that the increased weight does not make the patient obese.