Which of the following actions should every nurse take to prepare for a possible local disaster?
a. Completing an American Red Cross training program
b. Having a personal preparedness kit stored in the home
c. Providing volunteer assistance during a disaster in a neighboring community
d. Educating the community about the recovery phases after a disaster
ANS: B
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A client receiving risperidone (Risperdal) reports severe muscle stiffness mid-morning. During
lunch he has difficulty swallowing food and is noted to drool. When vital signs are taken at 4 PM he is noted to be diaphoretic, with a temperature elevation of 38.4° C, pulse of 110 beats/min, and blood pressure of 150/90 mm Hg. The nurse should suspect a. agranulocytosis and institute reverse isolation. b. cholestatic jaundice and begin a high-protein, high-cholesterol diet. c. tardive dyskinesia and withhold the next dose of medication. d. neuroleptic malignant syndrome and notify physician stat.
The nurse would assess a client with severe acute respiratory syndrome (SARS) for the major clinical manifestation indicating the onset of the lower respiratory phase, which is
a. dry, nonproductive cough. b. hemoptysis. c. pleuritic pain. d. rapid temperature elevation.
What is the goal of the initial intervention for a child in cardiopulmonary arrest?
a. Establishing a patent airway b. Determining a pulse rate c. Removing clothing d. Reassuring the parents
The patient receives enoxaparin (Lovenox) postoperatively. The nurse teaches the patient about this medication and evaluates that learning has occurred when he makes which statement?
1. "It inhibits the synthesis of prostaglandins." 2. "It increases the time it takes for me to form a clot." 3. "It dissolves small clots so I won't have a stroke." 4. "It increases the flexibility of my blood cells."