A teenage girl is admitted to the intensive care unit after taking an overdose of acetaminophen. What nursing assessment question is priority?

1. "Did you take the pills on purpose?"
2. "Do you have diabetes?"
3. "Could you be pregnant?"
4. "Do you feel at all sick to your stomach?"


Answer: 3

Nursing

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All of the following contribute to disturbed or interrupted sleep except

a. Alcohol b. Activity c. Sedentary lifestyle d. Tobacco

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The nurse is preparing to give isoproterenol parenterally. Before starting to administer the drug, what does the nurse ensure is on hand in case a severe reaction occurs?

A) An alpha-adrenergic blocker B) An alpha-adrenergic stimulant C) A beta-adrenergic stimulant D) A beta-adrenergic blocker

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A priority nursing diagnosis for the child with idiopathic thrombocytopenic purpura (ITP) is

1. risk for injury. 2. ineffective breathing pattern. 3. nausea. 4. fluid-volume deficit.

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You are a psychiatric nurse practitioner. The mother of one of your clients dies, and you attend the funeral

When you approach the client at the gravesite, the MOST appropriate nonverbal therapeutic communication technique that would convey your sympathy and therapeutic support would be to: a. gently squeeze the client's hand while patting the client on the shoulder or upper back with your other hand b. adopt a long, sorrowful facial expression, and wipe tears from your eyes c. attempt to speak in a choked voice, and then cough nervously or cry audibly d. stand off to the side with hands clasped in front of you, and continuously gaze at the client throughout the service

Nursing