A trauma victim has entered the emergency room. The nurse is obtaining the patient's medical history and performing a thorough physical examination that is included in which of the following phases of care and assessment of the trauma patient?
A) Primary survey
B) Resuscitation
C) Secondary survey
D) Definitive care
C
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The primary objective of an advance directive is to
a. Give families the right to make health-care decisions for the patient b. Follow the wishes of the person who wrote it c. Prevent abuse of incompetent patients d. Give the state permission to make life-or-death decisions for the patient
Your patient has a diagnosis of rheumatoid arthritis. While making the patient's plan of care, which nursing diagnosis would be most applicable to this patient?
A) Self-care deficit related to fatigue and joint stiffness B) Ineffective airway clearance related to chronic pain C) Risk for depression related to body image disturbance D) Urinary retention related to chronic pain
The father of an infant calls the nurse to his son's room because he is "making a strange noise." A diagnosis of laryngomalacia is made. What does the nurse expect to find on assessment?
a. Stridor b. High-pitched cry c. Nasal congestion d. Spasmodic cough
The nurse is assessing a client's urinary elimination. Which factor should the nurse keep in mind as influencing this elimination?
1. Age 2. Body image 3. Knowledge 4. Socioeconomic status