A child with hemophilia comes to the emergency department following an automobile accident. The child presents with multiple injuries. When prioritizing care for the child, the nurse would be most concerned with which injury?
1. Occipital hematoma
2. Radial fracture
3. Dislocated shoulder
4. Abdominal abrasions
1
Rationale 1: A potential intracranial bleed would receive highest priority because of the danger of increased intracranial pressure and potential neurologic damage.
Rationale 2: Although at risk for bleeding, this would not take priority over a head injury.
Rationale 3: A dislocation is not at high risk for bleeding or tissue ischemia.
Rationale 4: Although at risk for bleeding, this would not take priority over a head injury.
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A mother brings her 11-year-old son to the pediatric clinic for investigation of stomach complaints. The mother says that for the last two months, the child has complained of abdominal pain three to four mornings per week
The mother states the child usually complains on school days and always seems to be better by afternoon. The child was able to attend a weekend Boy Scout camp without difficulty but has missed several days of school due to complaints. The nurse would suspect which mental health disorder? 1. Separation anxiety 2. Depression 3. School phobia 4. Bipolar disorder
A patient with cancer has developed probable cardiac tamponade. What are the most specific signs and symptoms that the nurse expects?
A) Flat jugular veins when erect B) Muffled or distant heart sounds C) Bradycardia and heart block D) Generalized erythematous rash
The most lethal complication of a peptic ulcer is
a. bleeding. b. perforation. c. severe pain. d. gastric outlet obstruction.
A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it with the client B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the hospital recently implemented C) Recording a client's signs and symptoms in an electronic health record D) Performing continuous glucose monitoring of a client while the client is in the hospital