A patient arrives at the emergency department with burns to the neck and chest. Click on the area that represents a superficial partial thickness burn.
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The nurse is teaching participants in a family-oriented comm…
The nurse is teaching participants in a family-oriented community center ways to prevent their older relatives and friends from getting heat-related illnesses. The nurse includes all of the following information except.
A nurse is caring for a farmer who was bitten by a rattlesna…
A nurse is caring for a farmer who was bitten by a rattlesnake while working in his field. He killed the snake and brought it to the ED for positive identification. The triage nurse notes two puncture marks on his right hand. The proper interventions for this patient may include all of the following except:
A 35-year-old client arrives at the emergency department 10…
A 35-year-old client arrives at the emergency department 10 minutes after being stung by a bee while gardening. The client appears anxious and reports “feeling strange” with tingling lips and tongue. Vital signs are: BP 90/60 mmHg, HR 115 bpm, RR 24/min, O2 sat 94% on room air. The nurse observes mild facial swelling and hears inspiratory stridor. What is the nurse’s immediate priority action?
A 9-month-old infant is admitted with a high fever, irritabi…
A 9-month-old infant is admitted with a high fever, irritability, and poor feeding. The healthcare provider suspects bacterial meningitis. After the nurse performs the initial assessment, which intervention is the highest priority?
The nurse is caring for a trauma patient in the emergency de…
The nurse is caring for a trauma patient in the emergency department who is scheduled for a diagnostic peritoneal lavage (DPL) to assess for intra-abdominal bleeding. Which nursing action is most appropriate before the procedure?
An emergency department nurse plans care for a client who is…
An emergency department nurse plans care for a client who is admitted with heat stroke presenting with a core temperature of 106.2°F (41.2°C), altered mental status, hot dry skin, and hypotension. The nurse includes all of the following interventions in the patient’s plan of care except:
The newly diagnosed diabetic client asks the nurse why he sh…
The newly diagnosed diabetic client asks the nurse why he should check his feet every day. Which is the nurse’s best response?
During treatment of a patient who has sepsis-induced dissem…
During treatment of a patient who has sepsis-induced disseminated intravascular coagulation (DIC), the nurse will expect that collaborative care of this patient will focus on which of the following: Select all that apply:
An unconscious client is brought to the emergency department…
An unconscious client is brought to the emergency department (ED) by ambulance following a car accident. Without a family member to give informed consent, the nurse should