A child has sustained a severe burn. When the medical team arrives on the scene, which is the highest priority for this child at this time?
1. Start intravenous fluids.
2. Provide for relief of pain.
3. Establish an airway.
4. Place a Foley catheter.
3
Rationale:
1. The first step in burn care is to ensure that the child has an airway, is breathing, and has a pulse.
2. The first step in burn care is to ensure that the child has an airway, is breathing, and has a pulse.
3. The first step in burn care is to ensure that the child has an airway, is breathing, and has a pulse.
4. The first step in burn care is to ensure that the child has an airway, is breathing, and has a pulse.
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While supervising a home health-care aide, a nurse intervenes when observing the home health-care aide
1. Braiding a patient's hair. 2. Driving a patient to a medical appointment. 3. Giving a patient a bed bath. 4. Teaching a patient about nutrition.
A nurse's client is demonstrating transference. How should the nurse proceed?
A) Immediately terminate therapy with the client to promote safety. B) Encourage the client to ignore these thoughts and feelings. C) Automatically reassign the client to another contact person or to another unit or institution. D) Explore these thoughts and feelings with the client, unless it would pose a serious threat to safety or to the therapy itself.
The group of persons included in the study from whom data are gathered and analyzed refers to the:
A) population B) sample C) cohort D) control group
Which of the following interventions is the best example of an indirect intervention directed to-wards client safety?
1. Checking on a restrained client every 15 minutes 2. Performing hand hygiene between client contacts 3. Including the diagnosis at risk for injury related to falls to a client's care plan 4. Turning on a night light to illuminate the path to the bathroom