A nurse is working at the scene of a catastrophic natural event. Which person does the nurse attend to first?
a. Distraught mother looking for her children
b. Person walking about with a bleeding head wound
c. Supine person with pale, cool, clammy skin
d. Child with a deformed lower leg crying in pain
C
The person with pale, cool, clammy skin is in shock and needs immediate medical attention. The mother does not have injuries and so would be the lowest priority. The other two people need medical attention soon, but not at the expense of a person in shock.
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A client with metabolic acidosis has been admitted to the unit from the emergency department (ED). The client is experiencing confusion and weakness. Which nursing intervention is the priority for this client?
A) Placing the client in a high-Fowler's position B) Protecting the client from injury C) Administering sodium bicarbonate D) Providing the client with appropriate skin care
The nurse is caring for a patient in acute kidney injury. Which of the following complications would most clearly warrant the administration of polystyrene sulfonate (Kayexalate)?
A) Hypernatremia B) Hypomagnesemia C) Hyperkalemia D) Hypercalcemia
Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n):
a. breach of beneficence. b. example of maleficence. c. potential assault and battery charge. d. violation of the Health Insurance Portabil-ity and Accountability Act (HIPAA).
How is 2/5 changed to a percentage of 40%? (Select all that apply.)
1. 0.4 2. 0.24 3. 2 รท 5 4. 100