A patient is admitted to the emergency department with severe burn injuries. The nurse's priority actions are to prevent development of which type of shock?
1. Cardiogenic
2. Hypovolemic
3. Distributive
4. Obstructive
Answer: 2
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The nurse explains to the client that when optimal health occurs, an individual maximizes human potential, moves toward integration of human functioning, and takes responsibility for health. The nurse acknowledges that this is an example of:
a. health c. illness prevention b. health promotion d. wellness
A nurse is providing personal hygiene to an elderly client. Which of the following actions should the nurse take to protect the client from possible bacterial growth?
A) Avoid using lotion on the skin. B) Vigorously rub the skin dry using a towel. C) Use soap for every bath. D) Use oils in the bath.
A nurse suspects that a client with a venipuncture is developing an infection. Which of the following interventions should the nurse take to ensure that the client will remain free of infection?
A) Provide the client with plenty of fluids and antibiotics. B) Maintain a low temperature and humid atmosphere in the client's room. C) Elevate the client's extremity and massaging the infected area thoroughly. D) Elevate the client's extremity and applying warm compresses.
The nurse is using a tuning fork to detect unilateral hearing loss. What test is the nurse performing?
A) Whisper test B) Watch tick test C) Rinne's test D) Weber's test