What clinical manifestation should alert the nurse to possible carbon monoxide poisoning in a client who experienced a burn injury during a house fire?
A. Pulse oximetry reading of 80%
B. Expiratory stridor and nasal flaring
C. Cherry red color to the mucous membranes
D. Presence of carbonaceous particles in the sputum
C
The saturation of hemoglobin molecules with carbon monoxide and the subsequent vasodilation induces a "cherry red" color of the mucous membranes in these clients. The other manifestations are associated with inhalation injury, but not specifically carbon monoxide poisoning.
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Personal values are:
1. customs of society. 2. personal beliefs about truth, behavior, and thoughts. 3. society's behavioral code. 4. legal standards of an action.
A patient walks into a community clinic complaining of severe intestinal cramps and diarrhea. Which of the following actions can be taken to protect the staff at the clinic?
a. Refuse to see anyone that sick as clinics have a different mission than secondary and tertiary care of the obviously ill b. Send the patient immediately to the closest hospital emergency department c. Treat the patient with broad-spectrum antibiotics and lots of fluids d. Use universal precautions with all patients regardless of the situation
A client is admitted to the inpatient mental health unit with paranoid schizophrenia. Which of the following assessment parameters would be most important for the nurse to observe?
A) Hygiene B) Communication patterns C) Ability to make decisions D) Motor activity
A client comes into the emergency department with a non-life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room
The best way for the nurse to conduct an interview with this client is to: 1. Have the client wait until the department quiets down, since the wound is not too serious. 2. Tell the client to wait in the waiting room and fill out the paperwork. 3. Draw curtains around the client and nurse to provide as much privacy as possible. 4. Make sure the client's back is to the rest of the room so as not to be heard by passersby.