A school nurse is called after a student falls down a flight of stairs. The student is breathing but unconscious. After calling the ambulance, what should the nurse do?
1. assess the neck for movement
2. place the patient on the side to prevent aspiration
3. immobilize the neck, securing the head
4. try to rouse the patient by gently shaking the shoulders
Correct Answer: 3
Guidelines for emergency care include avoiding flexing, extending, or rotating the neck; immobilizing the neck; and securing the head. Assessing the neck for movement could cause or exacerbate a cervical injury. The side-lying position should be used if the patient vomits; however, this position should not be used in the immediate care of this patient. This patient is unconscious, and the nurse must protect the neck from any (or any further) damage. Rousing the patient by shaking could cause damage to the spinal cord.
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!" Which response made by the nurse would be most helpful?
a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
A client in her third trimester complains of leg cramps. The nurse should instruct her to do which of the following?
A) Wear shoes with low heels. B) Apply heat to muscles. C) Rise slowly from a chair or couch. D) Avoid tight stockings.
Write the square root of 25
What will be an ideal response?
Which of the following structural differences between children and adults predisposes children to middle ear infections?
a. The fluid-filled cochlea is less developed in children than in adults. b. Children have shorter, more horizontal, and more flaccid eustachian tubes. c. The outer ear of children is shorter and has fewer barriers, such as hair, in the ear. d. The semicircular canals are straighter and shorter in a child's ear.