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An emergency room nurse is caring for a trauma client. Which…

An emergency room nurse is caring for a trauma client. Which interventions might the nurse perform during the primary survey? (Select all that apply.)

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An emergency department nurse has just received a client wit…

An emergency department nurse has just received a client with burn injuries brought in by ambulance. The paramedics have started a large-bore IV and covered the burn in cool towels. The burn is estimated as covering 24% of the client’s body. How will the nurse best address the pathophysiologic changes resulting from major burns during the initial burn-shock period?

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A client on a medical-surgical floor receiving a levofloxaci…

A client on a medical-surgical floor receiving a levofloxacin suddenly becomes extremely anxious and complains of itching. The nurse hears stridor and notes generalized urticaria and hypotension. Which are the priority nursing actions for this client?

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A community is affected by a tornado. Emergency medical serv…

A community is affected by a tornado. Emergency medical service (EMS) providers alert the local emergency department (ED) that there are currently 20 victims accounted for in this weather-related disaster, with the potential for more. Which leadership style is most appropriate for this scenario?

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A client is admitted to the critical care unit with a diagno…

A client is admitted to the critical care unit with a diagnosis of acute myocardial infarction. Suddenly the monitor alarms and the screen shows asystole. Upon assessment the nurse finds the client unresponsive, apnic, and pulseless; what action will the nurse take next?

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Emergency medical personnel arrive at the emergency departme…

Emergency medical personnel arrive at the emergency department (ED) with an unresponsive client who has a non-rebreather oxygen mask in place. Which action will the nurse take first?

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A nurse manager is educating the nursing staff about clients…

A nurse manager is educating the nursing staff about clients that the nurses will call the rapid response team. Which clients will the nurse manager include in her teaching? (Select all that apply.)

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A client is brought to the ED by paramedics, who report that…

A client is brought to the ED by paramedics, who report that the client has partial-thickness burns on the chest and legs. The client has also suffered smoke inhalation. What is the priority in the care of a client who has been burned and suffered smoke inhalation?

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It is determined that the client needs a transcutaneous pace…

It is determined that the client needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted. What is the most appropriate nursing intervention?

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A registered nurse (RN) is working with a licensed practical…

A registered nurse (RN) is working with a licensed practical nurse (LPN) and unlicensed assistive personnel (UAP). Which task is the most appropriate for the RN to delegate to the UAP?

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