A patient is admitted to the emergency department (ED) after falling through the ice while ice skating. Which assessment will the nurse obtain first?

a. Heart rate
b. Breath sounds
c. Body temperature
d. Level of consciousness


ANS: B
The priority assessment relates to ABCs (airway, breathing, circulation) and how well the patient is oxygenating, so breath sounds should be assessed first. The other data will also be collected rapidly but are not as essential as the breath sounds.

Nursing

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The nurse is measuring her patient's blood glucose levels after an acute myocardial infarction (MI). She knows the rationale for doing this is:

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The nurse teaches parents that the severity of infant respiratory distress syndrome (RDS) is most influenced by:

a. poor cough and gag reflex. b. the gestational age at birth. c. administering high concentrations of oxygen. d. the sex of the infant.

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The physician has ordered D5NS to run at 125 mL/hour with a drop factor of 20 gtt/mL. What is the correct IV flow rate in gtt/min?

A) 41 B) 42 C) 43 D) 44

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Which is characteristic of X-linked recessive inheritance?

a. There are no carriers. b. Affected individuals are principally males. c. Affected individuals are principally females. d. Affected individuals will always have affected parents.

Nursing