A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. The rescuer's priority action would be:
a. assessing blood loss.
b. assessing respiratory status.
c. obtaining vital signs.
d. organizing laypeople at the scene.
B
Priority intervention is to assess respiratory status.
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When working with a patient with posttraumatic stress disorder who has frequent flashbacks as well as persistent symptoms of arousal, effective nursing interventions would include:
a. encouraging repression of memories associated with the traumatic event. b. explaining that physical symptoms are related to the psychological state. c. triggering flashbacks as a way to help the patient learn to cope with them. d. supporting "numbing" as a temporary way to manage intolerable feelings.
A client has had cardiothoracic surgery, and the nurse is palpating the peripheral pulses. The nurse cannot palpate the left lower extremity pulse. What is the first action by the nurse?
A) Call the physician. B) Call the charge nurse. C) Apply a vasodilator such as nitroglycerin cream on the skin surface and then palpate. D) Use a Doppler ultrasound device.
Which of the following is not a cause of colonic constipation?
a. a diet low in fiber c. diverticular disease b. dehydration d. infectious agents
An appropriate size serving of meat, poultry, or fish is about the size of
a. your fist. b. a dollar bill. c. the palm of your hand. d. one fourth of a dinner plate.