A maintenance man falls from a ladder into the unit hall, striking his head on some equipment. The man is unconscious and not breathing; the Code Team has already been paged and is on its way. The nurse should:
1. wait for the team to start CPR.
2. open airway with a jaw thrust.
3. give two rescue breaths after extending the neck.
4. start chest compressions.
2
The jaw thrust, rather than neck extension, is used when a head or neck injury is suspected. CPR should be initiated and then taken over by the Code Team when they arrive.
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The student nurse is assigned to a patient through the entire perioperative period and identifies the time when the preoperative phase ends and the intraoperative phase begins as when the patient:
a. Receives the preoperative medication b. Is taken to the holding area c. Leaves the holding area d. Enters the operating room
When reviewing laboratory results for a child with hemophilia, the nurse anticipates finding an abnormal:
a. prothrombin time. b. bleeding time. c. platelet count. d. partial thromboplastin time.
The physician has written an order for Synthroid, 137 mg. The LPN is aware that the drug is measured in micrograms. The nurse should:
1. transcribe the order as if it were written in micrograms. 2. notify the nursing supervisor. 3. transcribe the order as written. 4. call the doctor.
The nurses are discussing ethical issues in relation to nursing informatics. Which of the following ethical issues might develop as a result of nursing informatics? Select all that apply
1. The Medical Records Department employee informed one of his friends about a hospitalized client's address. The house was burglarized while the client was hospitalized. 2. The insurance company denied coverage to a client due to an undiagnosed pre-existing condition. The insurance company deduced that the client had diabetes mellitus after the client's glucose levels were consistently above 140 mg/dL during hospitalization. 3. A computer hacker stole information from the hospital's computerized billing system and used the information to obtain a credit card in a client's name. 4. The client's sister-in-law is an employee in the laboratory at the hospital, and discovered that the client had been admitted. The employee told the client's brother about the admission and specific laboratory results that indicated that the client was HIV-positive. 5. The information from the client's admission was used in research by the nurse manager to reduce the unit's average length of stay and increase quality of care.