A patient with facial fractures has a pulse of 108 bpm, respiratory rate of 24 breaths/min, and obvious deformities to the right side of the face. What should the nurse identify as the priority of care for this patient?

A. Frequently assessing for facial pain and administering pain medication p.r.n.
B. Monitoring the elevated pulse rate and looking for signs of pallor
C. Frequently assessing the blood pressure for signs of shock and initiating IV fluids
D. Monitoring the elevated respiratory rate and maintaining the airway


Answer: D

Nursing

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The nurse is aware of the role that heat can play in the treatment of pain and often recommends the use of heating pads or warm water soaks. For which of the following patients are these treatments most likely contraindicated?

A) An 80-year-old patient with painful bunions and a history of peripheral vascular disease. B) A 77-year-old patient who experiences nighttime cramping and has a history of congestive heart failure. C) A 90-year-old who has a diagnosis of rheumatoid arthritis and consequently inflamed joints. D) An 82-year-old who has osteoporosis and a pressure ulcer on the bony prominence over her thoracic spine.

Nursing

Which applications of information technology are currently important to nursing? (Select all that apply.)

1. Internet access for patients 2 .Physician order entries 3. Electronic transmission of prescriptions 4. Wireless and portable devices 5. Computer-based patient records

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The nurse is communicating with a patient who has voiced concern regarding an upcoming high-risk procedure. The nurse demonstrates empathy by stating:

a. "Would you like to talk about your feel-ings regarding the procedure?" b. "My mother had the same procedure and did very well." c. "I can't imagine how you feel." d. "It must be difficult preparing for the procedure; how are you feeling?"

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The community health nurse is trying to locate information about median household income, specifically the percentage of households below poverty level in the community. Which is the best source for these data?

A) Census records B) Chamber of commerce C) Department of Labor D) Local union office

Nursing