The nurse is providing emergency care to a client with frostbite. Which intervention is performed first?
a. Wrap the affected area in a warm, dry blanket to rewarm.
b. Rewarm the affected area in a 104° F wa-ter bath.
c. Elevate the affected area above the heart to decrease tissue edema.
d. Use a splint to immobilize the affected area.
B
Rewarming of the client with frostbite must occur first. Rapid rewarming in a water bath at a temperature of 104° F is preferable. If a warm bath is not available, warm wet towels can be used, but not warm dry blankets. After rewarming the affected area, elevate and apply an immo-bilization splint.
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An occupational health nurse overhears an employee talking to his manager about a 65-year-old coworker. What phenomenon would the nurse identify when hearing the employee state, "He should just retire and make way for some new blood."?
A) Intolerance B) Ageism C) Dependence D) Nonspecific prejudice
The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for engraphment for a bone marrow transplant. What is a priority nursing diagnosis for this patient?
A) Fatigue and activity intolerance B) Altered nutrition: less than body requirements due to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia
It is one week before a pregnant client's due date. The nurse notes on the chart that the client's pulse rate was 74-80 before pregnancy. Today, the client's pulse rate at rest is 90 . The nurse should take which of the following actions?
A. Chart the findings. B. Notify the physician of tachycardia. C. Repeat the assessment in 60 minutes. D. Prepare the client for transport to the hospital.
What will the nurse do during the post-test phase of diagnostic testing for a client?
1. Provide emotional and physical support to the client. 2. Compare the previous and current test results. 3. Prepare the client for the test. 4. Modify nursing interventions as necessary. 5. Report the results to appropriate health team members.