A patient involved in a high-speed motor vehicle accident with sustained multiple injuries and active bleeding is transported to the emergency department by ambulance with immobilization devices in place. There is a high probability of cervical spine and extremities are flaccid. What is the priority assessment for this patient?
A.) Check the mental status using the glasgow coma scale
B.) assess the respiratory pattern and ensure a patent airway
C.) Observe for intraabdominal bleeding and hemorrhage
D.) Assess for loss of motor functioning sensation
Answer: B.) assess the respiratory pattern and ensure a patent airway
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Which approach should the nurse use when considering pain management of an older patient recovering from injuries from a motor vehicle crash?
A) Try non-opioids and adjuvant drugs before providing opioid analgesia. B) Implement opioids if complementary therapies have proven to be ineffective. C) Begin with a moderate dose of opioid analgesia and taper down to the lowest effective dose. D) Restrict analgesia options to NSAIDs and adjuvant medications due to the risk of unwanted effects.
The home health care nurse is preparing a care plan for a client admitted with anemia. The client currently lives alone and states, "I can't even take a shower without getting winded
" Which of the following would be the priority nursing diagnosis for this client? A) Activity intolerance B) Anxiety C) Hopelessness D) Altered nutrition: less than body requirements
The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of
a. conjunctivitis. b. severe headaches. c. skin eruptions. d. unexplained weight loss.
According to Watson, consciousness
A. Is contained. B. Is interconnected. C. Is communicated to the one being cared for. D. Exists through and transcends time and space. E. All of the above