A patient presents to the emergency department with visual disturbances, nausea, vomiting, forgetfulness, and irritability. The patient tells the nurse that she is a victim of a terrorist attack involving a chemical agent
The nurse suspects this patient has been exposed to what chemical agent?
A) Nerve agent
B) Pulmonary agent
C) Vesicant
D) Blood agent
Ans: A
Feedback: Nerve agent exposure results in visual disturbances, nausea and vomiting, forgetfulness, irritability, and impaired judgment. Therefore options B, C, and D are incorrect.
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What action by the nurse takes priority in safeguarding a neonate's safety and well-being?
A. Ensuring that the baby wears an abduction alarm B. Keeping the baby with the mother at all times C. Requiring visitors to the unit to wear identification D. Providing proper identification and constant surveillance
The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required?
a. "I will keep the urine container on ice to keep it chilled until I bring it to the lab." b. "I will start the test over if I forget and urinate into the toilet during the testing time." c. "I will start the test tomorrow after I urinate first thing in the morning." d. "I will drink extra fluids so that the lab will have an extra large specimen to test."
The wife of a patient with schizophrenia is worried about her 17-year-old daughter and asks the nurse what symptoms mark the prodromal stage of schizophrenia. The nurse should respond by listing behaviors such as:
a. withdrawal, poor concentration, phobic or obsessive behavior, oddities of speech. b. auditory hallucinations, ideas of reference, thought insertion, and broadcasting. c. stereotyped behavior, echopraxia, echolalia, waxy flexibility, thought-blocking. d. looseness of associations, concrete thinking, echolalia, paranoid delusions.
When deciding if parenteral nutrition should be given peripherally or centrally, the nurse recognizes which statement is true?
1. Lipids must be given centrally. 2. The maximum percentage of dextrose that can be given peripherally is up to 10%. 3. Clients requiring long-term parenteral nutrition generally receive it peripherally. 4. Providing parenteral nutrition peripherally cannot meet calorie needs.