A 23 year old male is bit by a rattlesnake on the left hand…
A 23 year old male is bit by a rattlesnake on the left hand while rock-climbing with his father. His father is a nurse, and immediately provides care to his son. Which of the following actions by his father were poor decisions in the care of his son. Select all that apply: A. Application of a tourniquet on the left wrist B. Incision and drainage with a Swiss army knife C. Instructing his son to keep his hand down by his waist D. Washing the bite site with soap and water E. Icing the area
Read DetailsThis is a Multiple Response Item. The nurse is preparing a b…
This is a Multiple Response Item. The nurse is preparing a bolus feeding via G-tube. He understands that confirmation of placement may be performed by which of the following actions? Select the four responses that apply. Type the letters to your answer in alphabetical order, using no spaces, commas or periods. A. Radiography ( x-ray) B. Presence of bowel sounds C. Measure pH of aspirate D. Examination of residual contents E. Tube measurement at the abdominal wall F. Test with tap water
Read DetailsThe nurse is caring for a client with a heart rate of 180 be…
The nurse is caring for a client with a heart rate of 180 beats per minute (See rhythm strip below) and blood pressure 90/60 mmHg. Which interventions can be implemented for this situation and rhythm strip? (See interventions listed below, select the most appropriate interventions, see multiple choice options): Interventions: 1. Administer Atropine 2. Administer Adenosine 3. Prepare for Cardioversion 4. Have the client bear down 5. Administer Epinephrine 6. Administer chest compressions
Read DetailsThe nurse working in the emergency department is caring for…
The nurse working in the emergency department is caring for a client just brought in by ambulance after a motor vehicle accident. The client is disorientated, in pain, and crying. The nurse identifies that the client is most at risk for which of the following?
Read DetailsThis is a Multiple Response Item. The nurse is positioning a…
This is a Multiple Response Item. The nurse is positioning a client on the bedpan. Which actions are appropriate for the nurse to follow? Select the three responses that apply. Type the letters to your answer in alphabetical order, using no spaces, commas or periods. A. Place the bedpan against client’s buttocks and push the bedpan until the perineal area is situated properly. B. Place used/soiled bedpan on overbed table while cleaning the client’s perineal area. C. Assess the client need before selecting the type of bedpan. D. Provide privacy for the client while using the bedpan. E. Assess skin and hygiene needs when providing the bedpan.
Read DetailsThis is a multiple response item. The patient was in a mino…
This is a multiple response item. The patient was in a minor motor vehicle accident and has a laceration on his left lower leg. Important aspects to consider when applying his bandage include which of the following? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas or periods. A. Apply to extremity while in the natural position B. Apply bandage from proximal to distal C. Apply the bandage evenly across the extremity D. Apply the bandage as tightly as possible E. Apply the bandage with enough pressure to provide support
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