A pediatric patient is admitted after ingesting a household cleaning solution. The nurse should plan care for this patient's injuries based on which energy source?
1. chemical
2. physical
3. thermal
4. mechanical
Correct Answer: 1
The energy source for drugs, poisons, and industrial chemicals is chemical. The energy source for physical assault, drowning, or explosions would be physical; for heating appliances, fire, or freezing temperatures, thermal; and for motor vehicle accidents, mechanical.
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A 2-year-old boy has been diagnosed with physiologic cryptorchidism. Considering this diagnosis, during assessment the nurse will most likely observe:
a. Testes that are hard and painful to palpation. b. Atrophic scrotum and a bilateral absence of the testis. c. Absence of the testis in the scrotum, but the testis can be milked down. d. Testes that migrate into the abdomen when the child squats or sits cross-legged.
A client is referred to the clinic with complaints of blurred vision. Which initial question to the client is the priority?
1. "Would you please tell me about your vision today?" 2. "Do you experience double vision?" 3. "Have you had any eye pain?" 4. "What kinds of activities do you perform at work?"
The nurse is assessing a patient who has returned to the care area after surgery. What should the nurse do to ensure the patient receives appropriate care?
A. Orient the patient to person, place, and time. B. Schedule the patient for vital signs assessments every four hours. C. Assess the patient's mental status. D. Check the physician's orders to see if preoperative orders have been reordered.
An obese client is admitted for abdominal surgery. To which of the following postoperative complications does the nurse recognize this client is more susceptible?
a. Anemia b. Seizures c. Protein loss d. Dehiscence