A multiple trauma patient with a head injury is admitted. The nurse places the patient's neck in a neutral alignment position to
A) prevent impaired electrical impulses from going to the brain.
B) maintain intact neurological reflexes.
C) promote venous drainage from the head.
D) prevent further spinal cord injury or trauma.
C
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It is important to prevent hypothermia in the trauma patient because hypothermia is associated with which of the following? (Select all that apply.)
a. ARDS b. Coagulopathies c. Dysrhythmias d. Myocardial dysfunction
In a client with hyperthyroidism, the nurse would expect to see
a. anorexia, constipation, and cold extremities. b. blurred vision, night sweats, and palpitations. c. heat intolerance, weight loss, and diarrhea. d. muscle cramps, paresthesias, and numbness of the fingers and toes.
You use flow sheets for documentation of both medical and nursing orders, and any significant or abnormal client findings you chart in the progress notes. Which type of charting is your health care facility using?
1. charting by exception 2. APIE (Assessment, Problem Identification, Interventions, Evaluation) 3. PIE (Problem identification, Interventions, Evaluation) 4. SOAP (Subjective, Objective, Assessment, Plan)
The study of complex adaptive systems helps students and nurses understand the complexity of nursing work and implications for workplace environments as they apply to which of the following standards? Select all that apply
A. Emotional maturity B. Authentic leadership C. Skilled communication D. Meaningful recognition E. Respiratory assessment F. Appropriate staffing G. True collaboration H. Effective decision-making