While conducting the secondary survey of a patient admitted with multiple traumas the nurse assesses paralysis of the patient's left lower leg. Which of the following should the nurse do?
1. support limb with pillows
2. immediately immobilize the patient
3. turn the patient to assess the patient's back
4. move the patient to a semi-sitting position
2
Rationale: If during the complete neurological examination, the nurse assesses any evidence of paralysis or paresis, prompt immediate immobilization of the entire patient should occur if not already done. The nurse should not support the patient's limb with pillows or turn the patient to assess the back. The patient should not be moved to a semi-sitting position.
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The nurse is evaluating teaching provided to a client with migraine headaches. Which client statement indicates that teaching has been effective?
1. "I can drink colas without problem." 2. "I should avoid eating red meat." 3. "I should avoid red wine." 4. "I should eat a lot of aged cheese."
Hirschsprung's Disease may present with which of the following symptoms?
1. No meconium passage in the first 24 hours 2. Persistent diarrhea 3. Excellent weight gain with little stooling 4. Hard, pellet-like stools
An older patient takes medications prescribed by several different providers. Which will the nurse discuss with the patient as risks of polypharmacy? (Select all that apply.)
1. Neuropathy 2. Poor quality of life 3. Decreased mobility 4. Difficulties thinking 5. Increased morbidity and mortality