You are on scene with an 18-year-old female who was sexually assaulted by a friend at a party. She is very concerned regarding who will do the examination. Which of the following is a resource that is available at some hospitals?
A) SOAP
B) BLS
C) SANE
D) OPQRST
Ans: C) SANE
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The nurse caring for a patient with an endotracheal tube measures the cuff pressure on the tube and recognizes that a normal cuff pressure ranges between:
A) 10 to 15 cm H20 B) 15 to 20 cm H20 C) 20 to 25 cm H20 D) 25 to 30 cm H20
Social development and forming an identity are important tasks for the adolescent. Which of the following is true regarding the function of a peer group? (Select all that apply.)
a. Provides stability during change b. Helps loosen ties to family c. Serves as standard for dress and behavior d. Helps to define future roles e. Learn to doubt self-made choices
An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which nursing diagnosis is most appropriate for this adolescent?
1. Potential for Imbalanced Nutrition, More Than Body Requirements Related to Inactivity 2. Anxiety Related to Leaving Chores Undone at Home 3. Potential for Fear of Future Pain Related to Medical Procedures 4. Powerlessness (Moderate) Related to Inability to Speak to or Communicate with Friends
Which of the following may cause diarrhea?
A. Inactivity B. Infections C. Lack of fiber D. Lack of fluids