A patient who is well known to be violent arrives by ambulance at the emergency department for care of a laceration. What actions should be taken?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Sedate the patient prior to repairing the laceration.
2. Send the patient to another hospital.
3. Use a buddy system when providing care.
4. Restrain the patient prior to repairing the laceration.
5. Assign the most experienced nurse to work with this patient.
3,5
Rationale: Sedating the patient may be interpreted as false imprisonment.
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A patient is experiencing acute respiratory distress after eating an item of a known food allergy
What interventions will the nurse implement when providing emergency care to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Administer epinephrine 1:1000 intramuscularly. 2. Apply oxygen via face mask as prescribed. 3. Provide diphenhydramine 25 mg intravenous. 4. Administer vasopressin. 5. Prepare to administer antithrombolytic agents as prescribed.
When assessing an infant, it is important to involve the
A) Parents B) Siblings C) Physician D) Infant
You are assigned to assist with a procedure in which there is a high risk of splashing of secretions. Select the correct personal protective equipment for this task.
A. Gown, mask, gloves, head covering B. Gloves, mask, eye protection, gown C. Mask, eye protection, gown, shoe covers D. Gown, gloves, HEPA mask, paper cap
During the assessment of a 90-year-old client, the nurse documents an exaggeration of the posterior curvature of the thoracic spine as which of the following?
a. Lordosis b. Osteoporosis c. Scoliosis d. Kyphosis