43. In which order will the nurse perform the following actions when caring for a client with possible CS spinal cord trauma who is admitted to the emergency department?  A. Infuse normal saline at 150 mL/hr. B. Monitor cardiac rhythm and blood pressure C. Administer 02 using a nonrebreather mask. D. Immobilize the client’s head, neck, and spine. E. Transfer the client to radiology for spinal computed tomography (CT).

53.   An immunocompromised client was bitten by an animal who tested positive for rabies.  The nurse should advise the client to receive which additional doses of the rabies vaccine?

36.  In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a client’s chest?  A. Apply sterile gauze dressing B. Document wound appearance C. Apply silver sulfadiazine cream D. Administer analgesic Morphine as prescribed E. Clean wound with saline-soaked gauze

55. The nurse is admitting a client with a basal skull fracture. The nurse notes ecchymoses around both eyes and clear drainage from the client’s nose. Which admission order should the nurse question?

30. A client admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse, “I have a pounding headache and l feel sick to my stomach ” Which action should the nurse take first?  

4. The nurse estimates the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the anterior right arm, entire left arm and anterior left leg. What percentage of the client’s total body surface area (TBSA) has been injured?  

34. A client with a T4 spinal cord injury asks the nurse if he will be able to be sexually active. Which initial response by the nurse is most therapeutic?

57.  The nurse is caring for a child with protracted vomiting, tachycardia, hypoglycemia and rash.  Reye syndrome is to be ruled out.  The nurse should provide education to the parent to avoid giving the child which medication ?

35. A client with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?

15. A client has just arrived in the emergency department after an extensive electrical burn from exposure to a high-voltage current. Which of these prescribed interventions should the nurse implement first?