Edward Mitchell , 44-year-old male recently discharged from an outpatient partial hospitalization for paranoid schizophrenia. He was experiencing delusions and causing a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and had one suicide attempt via overdose at age 32. Edward has had episodic hospitalizations for hallucinations and delusions resulting from non-adherence to his medication regimen. Edward’s comorbidities include generalized anxiety disorder and hypertension. Medications: NKDA. Risperdal (risperidone) 3 mg one tablet twice daily by mouth Xanax (alprazolam) 0.5 mg one tablet daily by mouth. Melatonin one tablet daily one hour before bed Lisinopril 10 mg one tablet daily by mouth Surgical history: Appendectomy age 10 Social history: Edward lives alone and receives medication-monitoring services. He has worked at the meat packing plant for seven years. He received short-term disability during his outpatient partial hospitalization and is returning to work this week. The occupational health nurse at the meat packing plant where Edward works focuses on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards. Select the CORRECT interventions for the occupational health nurse to implement in preparing a safe return to work for Edward. (Select all that apply)

Annabell Flaherty, a 10-year-old Caucasian female, presented via ambulance to the emergency department at 1500 on Friday with a gunshot wound to the right shoulder after being unintentionally shot by one of her parents during a domestic quarrel. The x-ray revealed a fractured distal clavicle. Surgical repair is scheduled for the morning. Annabell’s grandmother is with her as her parents are being detained by authorities. An IV was placed and she was started on IV fluids, antibiotics, pain medications, and oxygen. Her wound has been packed and her right arm and shoulder are immobilized in a splint.  Assessments: Neurologic: Sensation is intactCardiac: Regular rate and rhythmRespiratory: Clear throughoutGI/GU: Bowel sounds active x 4Integumentary: Within normal limitsOrtho/Mobility: Within normal limits Blood work was done in the emergency department. The results are in the chart. No significantly abnormal labs. CT scan and chest x-ray indicate no lung involvement. The results are in the chart. IVs: Site: Left antecubitalType: 20-gauge Assessment: Patent, intact Fluid: Normal saline infusing at 68 mL/hrDrains and tubes: Site: None Type: Not applicableAssessment: Not applicableWounds: Site: Right shoulderType: Gunshot Assessment: Dressing is clean, dry, and intact. Last circulatory check indicated peripheral pulses strong and equal and capillary refill less than 2 seconds. Last neurologic check indicated that sensation is intact. Shoulder dressing is clean, dry, and intact. An ice pack has been applied over the dressing. Annabell’s grandmother, Grace, is in the room with her. They have both been sleeping on and off. Annabell was just up to the bathroom with some help; she should be tucked back in bed by now Anticipated surgery in AM for debridement, evaluation, and reconstruction. The scenario starts at 0320 Saturday. You enter the room to assess Annabell. As you begin your assessment Annabell asks you the following questions: Why did this happen to me? Will my mommy and daddy have to go to jail? Were they mad at me?  Part One: What will you say to Annabell at this time? After talking with Annabell, you continue your assessment. T = 98.2 F (36.8 C)BP = 90/60P = 114RR = 19O2 Sat = 94% (2 L/min via nasal cannula)• Heart sounds: Normal• Lung sounds: Clear• Abdominal sounds: Present• Pulses: Weak Annabell states: I feel funny. I think my ice pack is leaking, I’m all wet. Part Two: What are your three immediate interventions for Annabell?

Generally considered to be the most important information security policies, what item below defines the actions a user may perform while accessing systems and networking equipment?

The use of a single authentication credential that is shared across multiple networks is called:

Which type of biometrics is based on the perception, thought process, and understanding of the user?

You observe Mrs. Powell being assisted by another nurse who is blatantly rude and disrespectful to her. What order would you perform the following actions: 1. Remain with patient. 2. Therapeutic communication. 3. Document results. 4. Notify lead nurse. 5. Offer assistance.

A port in what state below implies that an application or service assigned to that port is listening for any instructions?

The CODE-blue team arrives for Mr. Jenkins with a crash cart, a physician, anesthetist and 2 critical-care nurses and 1 respiratory therapist. Place the following actions in the correct order they should be carried out.

Cooper Madison, a 6-year-old Caucasian male, arrived at the emergency department at 1045 Tuesday with a closed head injury and concussion, related to a fall from a tree house. A CT scan indicated possible skull fracture and subdural hematoma. A C-spine ruled out spinal fracture. While still in the emergency department, Cooper experienced an unwitnessed seizure. At 1300 Tuesday, Cooper was admitted to the pediatric unit. He has showed signs of decreasing consciousness overnight.   Assessments: Neurologic: WNL, Glasgow coma scale score of 12Cardiac: Regular rate and rhythmRespiratory: Clear throughoutGI/GU: WNLIntegumentary: Dry, warmOrtho/Mobility: Full range of motionPsychosocial: Age-appropriate Cooper has slept intermittently throughout the night. Most recent Glasgow coma scale at 0600 was 12. He complained of a mild headache during the night, which has been relieved with acetaminophen. Seizure precautions are in place. He has had no seizures since arrival to the pediatric unit. His mother is in the room with him. The scenario takes place on Wednesday at 0645. As the you enter the room, Cooper is lying supine in bed. He immediately begins having a seizure. Frothy emesis is oozing from his mouth and nose. The head of bed is flat and both side rails are in the down position. List your top five nursing interventions you will implement immediately.

Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. You enter the PACU to perform an assessment. Lou Thao is lying in bed with the head of bed at 15 degrees. He is alert and oriented but groggy after surgery. He states, “I am dizzy and feel like I could pass out. The room is spinning around” His vital signs are as follows: T = 97.4 F (36.3 C) BP = 78/42 P = 132 RR = 22 O2 Sat = 95% (2 L/min via nasal cannula) He asks you for a drink stating he is very thirsty and just doesn’t feel right. Further assessment: Heart sounds: Regular Lung sounds: Clear Bowel sounds: Absent Pulses: 1+ bilaterally Pain: 6/10 Urine in indwelling catheter bag is concentrated and amber. Wound, lower abdomen: Clean, dry, and intact, with no drainage Part One: List the unexpected assessment findings (specific for Lou)? Something typically abnormal could be normal in his position. Part Two: What do these assessment findings indicate. Part Three: What is your recommendation to the provider? What order are you going to ask for?