A patient who has major burns sustained in a factory fire is drowsy and complains of nausea. The nurse suspects that the patient may have which of the following conditions?
1. head injury
2. internal hemorrhage
3. carbon monoxide poisoning
4. neurogenic shock
3
Rationale: Because the burn has occurred in an enclosed place and the patient is exhibiting symptoms of carbon monoxide poisoning such as drowsiness and nausea, the nurse should suspect moderate to severe carbon monoxide poisoning. Head injury is not correct because there are no indications in the situation for head injury. Internal hemorrhage is not a complication of burns and is not manifested by drowsiness and nausea. Neurogenic shock is characterized by flaccidity and hypotension, which were not presented in this situation, and is less likely to result from burns.
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a. family practice and dermatology c. family practice and psychiatry b. family practice and orthopedics d. family practice and geriatrics
A patient is a kinesthetic learner. Which of the following would the nurse focus on when teaching this patient about drug administration?
A) Doing the actual steps of the procedure B) Watching the nurse perform the procedure C) Listening to the nurse's instructions D) Observing how to perform the steps
The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is:
a. The patient will ingest 1500 ml of oral fluids during each 24-hour period. b. The patient will request fluids when thirsty. c. The nurse will encourage fluid intake by the patient. d. The nurse will provide the patient with 100 ml of fluid hourly.
In applying Gould's developmental theory, the nurse anticipates that a client will have a greater concern for one's health within the following theme and age-group:
1. First theme (20s) 2. Second theme (early 30s) 3. Fourth theme (40s) 4. Fifth theme (50s)