In a terrorist attack, the most likely candidate for a bacterial agent release is:
a. Ricin
b. Sarin
c. Anthrax
d. Smallpox
C
Anthrax is the most likely bacterial agent. Ricin is a toxin, sarin is a chemical agent, and smallpox is viral.
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Law enforcement authorities have notified the emergency department that several people who have been exposed to nerve gas will be arriving
The nurse manager alerts the department nursing staff to expect patients with which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Muscle pain 2. Flaccid paralysis 3. Shortness of breath 4. Miosis 5. Rhinorrhea
The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client. In order to make this problem statement more individual, the nurse should take which action?
1. Include what mobility is impaired. 2. Use Level 1, 2, 3, or 4 to describe immobility. 3. Describe what happens when the client attempts mobility. 4. Add strength assessment data.
When the nurse administers the morning dose of a medication during the evening, which of the rights of medication administration has she failed to follow?
A) Client B) Medication C) Dose D) Time
On postoperative day 2, R.O. continues to improve and is tolerating ice chips. Breath sounds are clear, and
she is performing her pulmonary hygiene. NGT has minimal drainage. The Foley catheter and Penrose drain have been removed, and her urine output is adequate. Her IV line is saline locked. The incision is well approximated with no drainage or redness. Her pain is 4 to 6 out of 10 with pain medication every 4 hours. Later that evening your assessment shows that R.O. is pale and listless; bowel sounds are absent; abdomen is distended and tender to the touch; the NGT is draining an increased amount of dark, green- ish black fluid. Her lung sounds are moist bilaterally, and her temperature has spiked to 40.2 ° C (104.4 ° F), O2 saturation is 97% on room air. she rates her pain at 10 out of 10 and is having difficulty taking deep breaths because of the pain, which she says "hurts over my whole stomach." What actions would you take?