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36.  The nurse witnesses and provides care to a visitor in t…

36.  The nurse witnesses and provides care to a visitor in the hospital who had a syncopal episode and collapsed on the floor. The nurse assesses the client, maintains a safe environment, and gives a report to the emergency department nurse who will provide ongoing care. Which element of nursing care would the nurse who witnessed the event do next?  

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3.  A client presents to the industrial nurse after an accid…

3.  A client presents to the industrial nurse after an accident which amputated four toes.  Which would be the priority action to prevent further injury to the client? 

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26.  A client with deep partial-thickness and full-thickness…

26.  A client with deep partial-thickness and full-thickness burns of the face and chest is having the wounds treated with the open method. Which nursing action would be most appropriate for this type of wound care?  

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53.  The nurse is participating in a code blue in the emerge…

53.  The nurse is participating in a code blue in the emergency department.  Which nursing action would be correct in providing CPR to an adult client?  Select all that apply

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50.  A client is receiving heparin sodium by way of continuo…

50.  A client is receiving heparin sodium by way of continuous IV infusion in the ED. Which adverse effects of the therapy should the nurse assess the client for? Select all that apply.  

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47.  The practical nurse is assisting in the emergency depar…

47.  The practical nurse is assisting in the emergency department due to a staffing shortage and is instructed to assess vitals on one of four clients.  Which client should be assessed first in the triage area?

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30.  According to the Rule of Nines, a client who experience…

30.  According to the Rule of Nines, a client who experiences a burn injury to the perineum and entire left leg indicates burns to what percentage of body surface?

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4.  Which of the following warrants the nurse’s priority ass…

4.  Which of the following warrants the nurse’s priority assessment for a burn injury above the neck during the period immediately after the injury?

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24.  During the first 24 hours after a burn, which assessmen…

24.  During the first 24 hours after a burn, which assessment should alert the nurse that the fluid protocol is ineffective?

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2.  A nurse is caring for a client who has received a skin g…

2.  A nurse is caring for a client who has received a skin graft two days ago to the left upper arm. Which intervention is the highest priority for the nurse to implement for this client?  

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