A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
1. Take vital signs.
2. Establish an intravenous line.
3. Perform rapid neurologic assessment.
4. Maintain patent airway.
4
Explanation:
1. Taking vital signs is important, but airway always comes first.
2. Once the airway is secure, securing an IV is vital.
3. A rapid neurologic assessment is appropriate once the airway is secure.
4. Airway is always the priority of care.
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a. "Take 2 tablets 10 minutes after the first dose and go to the ER if you are still hav-ing pain." b. "Take a second tablet 15 minutes after the first dose and call the physician if you are still having pain." c. "Take 2 more tablets 30 minutes apart, and then rest for 20 minutes." d. "Take 2 more tablets 5 minutes apart and notify the physician if your pain is not re-lieved."
A client's dressing orders include calcium alginate (Kalistat). The nurse instructs the client that this application is appropriate for a(n)
a. black wound. b. draining wound. c. infected wound. d. red wound.
An important age-related consideration the nurse should include in the care plan for an elderly client with a seizure disorder is
a. a decreased serum albumin level can increase the free plasma level of medications. b. fortunately, seizure medications have very few drug-drug interactions. c. older adults have very few choices when it comes to seizure medications. d. the elderly rarely have seizure disorders, so community support for them is poor.
The nurse is caring for a client with renal insufficiency. The diuretic of choice for this client is:
a. spironolactone. c. triamterene. b. furosemide. d. acetazolamide.