Biology Forums - Study Force

A 20-year-old patient has been brought to the emergency department by ambulance after being found with an apparent gunshot wound to the chest.
 
  Place the following components of the rapid assessment of thoracic injuries in the correct order in which the nurse should perform them.
  A) Assess the patient's vital signs
  B) Assess the character and quality of the patient's breathing pattern
  C) Assess the patient's level of consciousness
  D) Assess the patency of the patient's airway
  E) Assess the patient for hypothermia or hyperthermia

Question 2

When the rehabilitative nurse is working with a gerontologic client and focuses on the many obstacles that the client has already successfully overcome, the nurse is exhibiting which of the following guidelines for rehabilitative care?
 
  A) Provide time and flexibility.
  B) Recognize and praise accomplishments.
  C) Prevent complications.
  D) Emphasize function rather than dysfunction.

Question 3

The nurse answers the call light of a newly admitted patient. The patient tells the nurse she is blind and asks the nurse to assist her to the bathroom. Which action by the nurse is most appropriate?
 
  a. Take the patient by the arm and lead her slowly to the bathroom.
  b. Walk slightly ahead of the patient and allow the patient to hold the nurse's elbow.
  c. Give the patient exact descriptive directions to the bathroom so that she can walk there independently.
  d. Lead the patient to the bathroom by the hand, describing the location and providing verbal clues.

Question 4

A 66-year-old man with a 60 pack-year history of cigarette smoking was diagnosed with nonsmall cell lung cancer several months ago and has been admitted to the palliative care unit following unsuccessful surgical resection and radiation therapy.
 
  What patient teaching should the nurse prioritize when providing care for this patient?
  A) Deep breathing and coughing exercises
  B) Pain management techniques
  C) Techniques for maintaining activities of daily living (ADLs)
  D) Infection control measures

Question 5

A 70-year-old man who worked in a foundry for many years as a young adult sought care with complaints of progressive dyspnea, weight loss, and dry cough. Following an extensive diagnostic workup, the patient was diagnosed with silicosis.
 
  This patient's signs and symptoms are the result of what pathophysiological process?
  A) The formation of nodular lesions and eventual masses in the lungs
  B) Carcinogenesis and the development of nonsmall cell lung tumors
  C) Mechanical destruction of the alveolar walls and subsequent loss of perfusion
  D) Inhibition of surfactant production and release

Question 6

During examination of his external ear, the patient tells the nurse that his ear is very painful when touched. The nurse recognizes that this finding is commonly associated with
 
  a. a ruptured tympanic membrane.
  b. a blocked eustachian tube.
  c. infection of the mastoid bone.
  d. inflammation of the ear canal.

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