A patient has a fracture of the right wrist. What is an early sign that indicates this patient may be having a complication?

a) Patient loses ability to wiggle fingers without pain.
b) Fingers are cold and pale; capillary refill is sluggish.
c) Pain is severe and seems out of proportion to injury.
d) Patient reports a subjective numbness and tingling.


Answer: d) Patient reports a subjective numbness and tingling.

Nursing

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A nurse manager is working with staff nurses regarding the types and frequency of documentation required for clients being cared for in long-term care facilities

Which laws contribute to the specific documentation required for client's in long-term care facilities? Select all that apply. A) Kardex B) Omnibus Budget Reconciliation Act (OBRA) C) Health Care Financing Administration Act D) Minimum Data Set (MDS) E) Charting by exception (CBE)

Nursing

The nurse explains that depression is thought to be the result of a deficit of:

a. norepinephrine. b. serotonin. c. acetylcholine. d. dopamine.

Nursing

Reasons an organization's professional malpractice liability insurance may fail to cover a nurse's actions are listed below. Which is not necessarily correct regarding organizational professional malpractice liability insurance?

a. may not cover if the insured intentionally injures another party b. covers all liability for the nurses while em-ployed no matter what and is all that the nurse needs c. may not cover if the insured fails to comply with organizational policies and procedures d. may not be enough especially if the nurse is named individually in addition to the organization

Nursing

You and your partner arrive at the scene shortly after a 2-year-old child experienced an apparent seizure. The child's father tells you that his son's entire body began shaking and that the episode lasted less than 5 minutes. Your assessment of the child reveals that he is conscious, is crying, and has hot, moist skin. His heart rate is 160 beats/min, and his respirations are 40 breaths/min. You should:

A) advise the father to take his son to see a pediatrician the following day. B) cool the child with tepid water, administer high-flow oxygen, and transport. C) establish vascular access, give a 20-mL/kg saline bolus, and transport him. D) keep the child cool and transport him to the hospital for physician evaluation.

Nursing