Because you are concerned about possible smoke inhalation, what will you monitor for
in A.N.?
What will be an ideal response?
• You will assess A.N. for burns to the face and neck; singed nasal or facial hair; dry cough; copious
sputum with or without evidence of charcoal or soot; smoke odor. Inspect the oropharynx and
vocal cords for redness, ulcerations, swelling, and blisters.
• Observe A.N. for increasing restlessness, dyspnea, difficulty swallowing, increasing hoarseness,
stridor, wheezing, and nasal flaring.
• Monitor vital signs for tachycardia, a decrease in oxygen saturation, and rapid, shallow
respirations. Monitor arterial blood gases and carbon monoxide levels when ordered.
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Which of the following disorders are considered to be ovulation disorders? Select all that apply
a. Hypothalamic amenorrhea b. Kallman's syndrome c. Sheehan's syndrome d. Idiopathic hypothalamic dysfunction e. Hyperprolactinemia
The nurse is providing care to a patient recently diagnosed with schizophrenia. The patient’s family tells the nurse that the patient believed he was the priest at their church. Based on this statement, which type of delusion was the patient experiencing?
a. Nihilistic b. Religious c. Grandiose d. Persecutory
Which observation may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?
a. Red, green, and yellow bruises on his body b. Bruises are dispersed on his head, arms, and legs c. A broken arm last year, and the child being described as accident-prone d. The mother is very anxious for her son to get medical attention
Comparing the patient's current (home) medications with those ordered during hospitalization and communicating a complete list of medications to the next provider when the patient is transferred within an organization or to another setting are
strategies to: a. improve accuracy of patient identification. b. prevent errors related to look-alike and sound-alike medications. c. reconcile medications across the continuum of care. d. reduce harms associated with administration of anticoagulants.