A 68-year-old patient arrives at the clinic after being exposed to freezing temperatures for an extended period. The nurse suspects frostbite on the patient’s fingers, which appear pale and numb. Which actions should the nurse take to treat the frostbite? (Select all that apply.)
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A 45-year-old patient with partial-thickness burns covering…
A 45-year-old patient with partial-thickness burns covering both arms and the chest is now stable and receiving care in the burn unit. To prevent contractures, which nursing action is most important for the nurse to include in the patient’s plan of care?
A home health nurse is teaching an 82-year-old patient in Mo…
A home health nurse is teaching an 82-year-old patient in Montana about preventing hypothermia during cold weather. Which instructions should the nurse include? (Select all that apply.)
A 7-year-old child is admitted to the emergency room after a…
A 7-year-old child is admitted to the emergency room after a near-drowning incident in a pool. The child is alert but coughing intermittently and has decreased oxygen saturation. As the nurse, which interventions should be prioritized to ensure the child’s safety and recovery? (Select all that apply.)
A worker in a department store fell through a plate glass wi…
A worker in a department store fell through a plate glass window, causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood. Which initial action is most important for the first responder to take?
A restaurant patron sitting at a next table begins to choke…
A restaurant patron sitting at a next table begins to choke and cough. The patron yells, “I’m choking! I can’t breathe!” What action should the first responder take?
A patient comes to the emergency department after exposure t…
A patient comes to the emergency department after exposure to a toxic chemical spill. Which action indicates that the nurse accurately understands proper management of this patient?
A nurse on the medical-surgical unit is caring for a 47 year…
A nurse on the medical-surgical unit is caring for a 47 year old client in shock and assesses the following:Respiratory rate: 10 breaths/minPulse: 136 beats/minBlood pressure: 92/78 mm HgLevel of consciousness: responds to voiceTemperature: 101.5° F (38.5° C)Urine output for the last 2 hours: 40 mL/hr.What action by the nurse is best?
During triage after an industrial accident, which client con…
During triage after an industrial accident, which client condition would a nurse prioritize with a red tag?
The nurse is caring for a 68-year-old male client, Mr. Steve…
The nurse is caring for a 68-year-old male client, Mr. Stevens, who recently experienced a hemorrhagic stroke. He has a history of hypertension and atrial fibrillation. Which of the following assessment findings is the earliest indicator of increasing intracranial pressure (ICP) in this client?