The nurse would be most alert for the development of secondary pathway multiple organ dysfunction syndrome (MODS) in which patient?
1. A 40-year-old patient who went into neurologic shock following a fall
2. A patient whose leg laceration was severely contaminated with soil from a rodeo arena
3. A patient who has history of cirrhosis and diabetes who had chest injuries in an automobile accident
4. A teenager who was bitten by a stray dog three days prior to admission
Answer: 3
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A patient with a C5 spinal cord injury is tetraplegic. After being moved out of the ICU, the patient complains of a severe throbbing headache. What should the nurse do first?
A) Check the patient's indwelling urinary catheter for kinks to ensure patency. B) Lower the HOB to improve perfusion. C) Administer analgesia. D) Reassure the patient that headaches are expected after spinal cord injuries.
Which assessment finding obtained while taking the history of an older client should alert the nurse to the possibility of fluid or electrolyte imbalance?
A. "I am often cold and need to wear a sweater, even when other people are warm." B. "I seem to urinate more when I drink coffee." C. "In the summer, I feel thirsty more often." D. "My rings are tighter this month."
All of the following are treatment options for benign prostatic hyperplasia EXCEPT:
A. laser, microwave, or radio wave treatment. B. phophodiesterase inhibitor drugs such as sildenafil. C. surgical resection of tissue. D. heat coagulation or freezing.
A nurse is making a home visit and discovers that a patient's wound infection has gotten worse. After cleaning and re-dressing the wound, what should the nurse do?
a. Ask the home health agency nurse manager to contact the health care provider. b. Document the findings and confirm with the patient the date of the next home visit. c. Notify the health care provider of the findings before leaving the home. d. Tell the patient that the health care provider will be notified before the next visit.