During the treatment and management of the trauma patient, maintaining tissue perfusion, oxygenation, and nutritional support are strategies to prevent:
a. disseminated intravascular coagulation.
b. multisystem organ dysfunction.
c. septic shock.
d. wound infection.
B
Patients with multisystem injuries are at high risk of developing myriad complications associated with the overwhelming stressors of the injury, prolonged immobility, and consequences of inadequate tissue perfusion and oxygenation. Maintaining effective tissue perfusion, oxygenation, and nutritional support are all vital to prevent progression into multiple organ dysfunction syndrome. Disseminated intravascular coagulation, septic shock, and wound infections are best prevented by addressing infection early and aggressively with appropriate antibiotics and nursing interventions to reduce infection (e.g. hand hygiene).
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A 12-year-old child with congenital heart block codes in the Emergency Department. The parents witness this and stare at the resuscitation scene unfolding before them. The best nursing intervention in this situation is to:
1. Ask the parents to leave until the child has stabilized. 2. Ask the parents to call the family to come in to watch the resuscitation. 3. Ask the parents to sit near the child's face and hold his hand. 4. Ask the parents to stand at the foot of the cart to watch.
The nurse and a colleague are performing the Epley maneuver with a patient who has a diagnosis of benign paroxysmal positional vertigo. The nurses should begin this maneuver by performing what action?
A) Placing the patient in a prone position B) Assisting the patient into a sitting position C) Instilling 15 mL of warm normal saline into one of the patient's ears D) Assessing the patient's baseline hearing by performing the whisper test
Which patient-teaching instructions are appropriate for a patient taking an antidysrhythmic drug? (Select all that apply.)
a. "Do not chew or crush extended-release forms of medication." b. "Take the medication with food if gastrointestinal distress occurs." c. "If a dose is missed, the missed dose should be taken along with the next dose that is due to be taken." d. "Take the medications with an antacid if gastrointestinal distress occurs." e. "Limit or avoid the use of caffeine." f. "The presence of a capsule in the stool should be reported to the physician immediately."
Whistleblowing in health care occurs when an individual "blows the whistle" and reports an unsafe situation. Some suggestions for nurses who may choose to be whistleblowers in health care-related situations are listed below
Which is not necessarily correct? a. Avoid being confrontational when discussing the issue with management; exhaust all internal remedies before taking matters out of house. b. Consider reporting your concerns about quality of care to the Institute of Medicine or Robert Wood Johnson Foundation. c. Keep a personal diary of events after the incident is reported. d. Document the incident and keep a copy for yourself; send a typed complaint to the Di-rector of Nursing or anyone in another de-partment with a stake in the case.