There has been a radiation-based terrorist attack. A patient is experiencing vomiting, diarrhea, and shock after the attack. What will the patient most likely be categorized as?
A) Probable survival
B) Possible survival
C) Improbable survival
D) Extended survival
Ans: C
Feedback: Patients who experience vomiting, diarrhea, and shock after radiation exposure are categorized as improbable survival, because they are demonstrating symptoms of exposure levels of more than 800 rads of total body-penetrating irradiation.
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The patient undergoes a cardiac catheterization that requires the use of contrast dyes during the procedure. To detect signs of contrast-induced kidney injury, the nurse should:
a. not be concerned unless urine output decreases. b. evaluate the patient's serum creatinine for up to 72 hours after the procedure. c. obtain an order for a renal ultrasound. d. evaluate the patient's post void residual volume to detect intrarenal injury.
The client who has a positive enzyme immunoassay test asks the nurse if that means that he is HIV positive. The nurse's most helpful response would be
a. "No, many people have positive enzyme immunoassays." b. "No, you need to have the Western blot test to confirm that you are positive." c. "Yes, but antiretrovirals will probably combat the infection now." d. "Yes, you should seek medical care for antiretroviral drugs."
Florence Nightingale introduced the concept of apprenticeship for nurses. Which of the following statements is an example of this?
a. Participating in a paid internship b. Passing the NCLEX exam c. Completing clinical hours supervised by a nursing instructor d. Taking an online class at a university
A health care administrator is reviewing material submitted to the legislature on tort reform. What should the administrator explain to nurse leaders about this legislation?
a. Limits organizational liability for damages b. Requires continuing education for all caregivers c. Expects all staff to have read organizational policies before completing procedures d. Expects all staff to have malpractice or liability insurance