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Anyy Anyy
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Posts: 541
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6 years ago
Family members are in the patient's room when the patient has a cardiac arrest and the staff start resuscitation measures. Which action should the nurse take next?
 
  a. Keep the family in the room and assign a staff member to explain the care given and answer questions.
  b. Ask the family to wait outside the patient's room with a designated staff member to provide emotional support.
  c. Ask the family members about whether they would prefer to remain in the patient's room or wait outside the room.
  d. Tell the family members that patients are comforted by having family members present during resuscitation efforts.

Question 2

A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the urgent care center. Which action will the nurse plan to take?
 
  a. Prepare to administer rabies immune globulin (BayRab).
  b. Assist the health care provider with suturing of the bite wounds.
  c. Teach the patient the reason for the use of prophylactic antibiotics.
  d. Keep the wounds dry until the health care provider can assess them.

Question 3

A 54-year-old patient arrives in the emergency department (ED) after exposure to powdered lime at work. Which action should the nurse take first?
 
  a. Obtain the patient's vital signs.
  b. Obtain a baseline complete blood count.
  c. Decontaminate the patient by showering with water.
  d. Brush off any visible powder on the skin and clothing.

Question 4

An unresponsive 79-year-old is admitted to the emergency department (ED) during a summer heat wave. The patient's core temperature is 105.4 F (40.8 C), blood pressure (BP) 88/50, and pulse 112. The nurse initially will plan to
 
  a. apply wet sheets and a fan to the patient.
  b. provide O2 at 6 L/min with a nasal cannula.
  c. start lactated Ringer's solution at 1000 mL/hr.
  d. give acetaminophen (Tylenol) rectal suppository.

Question 5

A patient is admitted to the emergency department (ED) after falling through the ice while ice skating. Which assessment will the nurse obtain first?
 
  a. Heart rate
  b. Breath sounds
  c. Body temperature
  d. Level of consciousness
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
Although many family members and patients report benefits from family presence during resuscitation efforts, the nurse's initial action should be to determine the preference of these family members. The other actions may be appropriate, but this will depend on what is learned when assessing family preferences.

The answer to question 2

ANS: C
Because human bites of the hand frequently become infected, prophylactic antibiotics are usually prescribed to prevent infection. To minimize infection, deep bite wounds on the extremities are left open. Rabies immune globulin might be used after an animal bite. Initial treatment of bite wounds includes copious irrigation to help clean out contaminants and microorganisms.

The answer to question 3

ANS: D
The initial action should be to protect staff members and decrease the patient's exposure to the toxin by decontamination. Patients exposed to powdered lime should not be showered; instead any/all visible powder should be brushed off. The other actions can be done after the decontamination is completed.

The answer to question 4

ANS: A
The priority intervention is to cool the patient. Antipyretics are not effective in decreasing temperature in heat stroke, and 100 oxygen should be given, which requires a high flow rate through a non-rebreather mask. An older patient would be at risk for developing complications such as pulmonary edema if given fluids at 1000 mL/hr.

The answer to question 5

ANS: B
The priority assessment relates to ABCs (airway, breathing, circulation) and how well the patient is oxygenating, so breath sounds should be assessed first. The other data will also be collected rapidly but are not as essential as the breath sounds.
Anyy Author
wrote...
6 years ago
Smiling Face with Glasses Feeling super confident now, TY
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