When considering the pathophysiology of complications associated with orthopedic injuries, which of the following trauma patients has the greatest risk for kidney damage related to acute tubular necrosis?
A. Marie, a 34-year-old who fractured her left femur during a mountain biking accident
B. An 84-year-old woman who dislocated her hip from a ground level fall
C. Perry who broke his proximal humerus during football practice
D. Mrs. Roper who sustained a pelvic fracture when she was broadsided by another vehicle
Answer: D. Mrs. Roper who sustained a pelvic fracture when she was broadsided by another vehicle
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The nurse is providing instructions to newly hired graduates for the mini-mental state examination (MMSE). Which statement best describes this examination?
a. Scores below 30 indicate cognitive impairment. b. The MMSE is a good tool to evaluate mood and thought processes. c. This examination is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness. d. The MMSE is useful tool for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.
The nurse is performing an assessment of a 13-year-old boy with diabetes mellitus. Which of the following assessments would best indicate the presence of type 1 diabetes?
A) The parents report that their child had "a cold or flu" recently. B) Checking the vital signs shows an elevated blood pressure. C) The parents report that their son "can't drink enough water and is tired a lot." D) Auscultation reveals Kussmaul breathing.
Mrs. M has returned to work and is now having difficulty breastfeeding her 7-month-old son. She plans to switch him to cow's milk. You inform her that cow's milk is:
1. A natural and adequate substitute for breast milk. 2. Higher in fat content and may lead to an overweight baby. 3. Not recommended for children under the age of one year. 4. Nutritionally more similar to breast milk than formula.
Ordered: furosemide 25 mg IM stat, for a patient with edema
Available: How many milliliters will the nurse prepare? a. Estimated dose: b. DA equation: c. Evaluation:Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.