When the accident victim presents to the emergency room with an open sucking chest wound, the nurse should apply to the wound:
1. occlusive dressing taped on four sides.
2. tight Ace bandage wrap.
3. no dressing of any sort.
4. flutter dressing taped on three sides.
4
A flutter dressing taped on three sides allows no more air to enter the pleural space, but al-lows the expanding lung to push air out. A four-sided dressing allows the trapped air to re-main and possibly collapse the lung.
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List three of the Healthy People 2010 objectives
What will be an ideal response?
The nurse is reviewing the medical record of a newborn born 2 hours ago. The nurse notes that the newborn was delivered at 35 weeks' gestation. The nurse would classify this newborn as which of the following?
A) Preterm B) Late preterm C) Full term D) Postterm
Which of the following statements made by a woman recently diagnosed with osteoporosis indi-cates the greatest degree of readiness to begin a daily walking routine?
1. "The tests showed that I have osteoporosis and need to walk." 2. "I've walked around the local park three times, and that measures 1.75 miles." 3. "My sister has this problem, and she walks one mile a day around her neighbor-hood." 4. "I can join the spa and use the treadmill when the weather gets too cold to walk outside."
The nurse is caring for a male client scheduled for abdominal surgery. Which interventions should the nurse include in the plan of care? Select all that apply
1. Perform passive ROM exercises 2. Discuss how to cough and deep breathe effectively 3. Tell the client he can have a meal in the PACU 4. Teach ways to manage post op pain 5. Discuss events which occur in the post-anesthesia care unit