Multiple severely injured clients have arrived in the Emergency Department. On rapid assessment, the nurse notes that a leg wound dressing has a 4 cm × 6 cm blood spot that has soaked through the bandage. The client is otherwise stable
What action should the nurse take? A)
Remove the dressing and place direct pressure on the wound.
B)
Remove the dressing and replace it with a new sterile dressing.
C)
Place a tourniquet above the wound.
D)
Add additional dressing to the wound without removing the original.
D
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A grieving young widow cries out, "Why was my husband killed? Why wasn't it me?" The best response from the nurse would be:
a. stating "You need to be strong for your children." b. silently placing her hand on the widow's arm. c. asking if there is anyone the widow needs to have notified. d. stating "You are feeling overwhelmed about your husband's death."
The nurse is assessing a patient new to the clinic. Records brought to the clinic with the patient show the patient has hypertension and that her current BP readings approximate the readings from when she was first diagnosed
What contributing factor should the nurse first explore in an effort to identify the cause of the client's inadequate BP control? A) Progressive target organ damage B) Possibility of medication interactions C) Lack of adherence to prescribed drug therapy D) Possible heavy alcohol use or use of recreational drugs
A nurse researcher is conducting a study on how a mother perceives her infant at the age of 4 months
The researcher is asking the mother to identify general prominent features, some of which are seen in all the infant's behavior patterns and are most often used as descriptors of the infant. What is the best term for these features? A) Personality traits B) Secondary traits C) Central traits D) Humanistic traits
An adult patient who is hospitalized following a motorcycle accident when a car ran a red light tells the nurse, "I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage."
Which nursing diagnosis is appropriate to include in the plan of care? a. Anxiety b. Defensive coping c. Ineffective denial d. Risk prone health behavior