What should the emergency department nurse anticipate on the initial assessment of a patient with carbon monoxide poisoning?
a. Blood pressure will be low.
b. Oxygen saturation will be low.
c. Mucous membranes will be blue.
d. Respirations will be less than 10 breaths/min.
B
Carbon monoxide binds to the hemoglobin more readily than oxygen, which causes hypoxemia. The mucous membranes will be cherry red, and the blood pressure will be elevated because of hypoxia.
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An emergency nurse assesses a client who is admitted with a pelvic fracture. Which assessments should the nurse monitor to prevent a complication of this injury? (Select all that apply.)
a. Temperature b. Urinary output c. Blood pressure d. Pupil reaction e. Skin color
Being-in-the-world is a concept that is of relevance in case study research
A) True B) False
A patient says, "Although numerous assessments and diagnostic tests over the past year have shown no evidence of organic disease I'm still anxious and sure something is wrong.". The nurse should suspect the presence of:
a. hypochondriasis. b. chronic pain disorder. c. chronic major depression. d. body dysmorphic disorder.
A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How should the nurse proceed?
a. Call for assistance to help the patient into the bathtub. b. Wait for the patient to calm down, and then give him a towel bath. c. Allow the patient to go without bathing for a day or two. d. Ask another staff member to attempt the tub bath.