Mec 4 final part 2
A client with a chest injury has suffered a flail chest . A nurse assesses a client for which most distinctive sign of flail chest ?
Paradoxical chest movement
Which of the following drainage systems works with gravity to prevent the collection of drainage in a surgical incision ?
Penrose drain
The nurse is evaluating pre admission laboratory studies , including complete blood count , coagulation studies , and electrolytes and creatinine levels . Which of the following laboratory results should be reported to the surgeons office , knowing that it could cause the surgery to be postponed ?
Platelets 40,000
A postoperative client asks a nurse why it is so important to deep breathe and cough after surgery . 1 formulating a response , the nurse and incorporating the understanding that retained pulmonary secretions in a postoperative client can lead to which of the following ?
Pneumonia
The client with Guillain - Barre syndrome has ascending paralysis and is intubated and receiving mechanical ventilation . Which of the following strategies would the nurse incorporate in the plan of care to help the client cope with this illness ?
Providing information , giving positive feedback , and encouraging relaxation
The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care of a client recovering from drowning . Which statement by the new nurse accurately demonstrates an understanding of this condition ?
Prowning results in the collapse of alveoli and pulmonary edema
What is the priority assessment in the first 24 hours after admission of the client with a thrombotic stroke ?
Pupil size and pupillary response
( The nurse assesses the frostbite on a client's hands and feet to be second - degree frostbite because the skin has which of the following assessment findings ?
Reddened and has blisters filled with milky fluid
The nurse is working on a medical surgical unit when a fire breaks out in the stairwell near the nurses station . Which of the following correctly describes the nurses first action ?
Rescue anyone in immediate danger of the fire
The nurse is caring for the client who begins to experience seizure activity while in bed . Which of the following actions by the nurse would be contraindicated ?
Restraining the clients limbs
a client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation . A nurse checks for the client when the high- pressure alarm on the ventilator sounds and notes that the client has an absence of breath sound in the right upper lobe of the lung . The nurse immediately assesses for other signs for which of the following ?
Right pneumothorax
The nurse develops a care plan for a client in the acute phase of a burn injury . Which of the following would be the priority nursing diagnosis for the client ?
Risk for infection r.t slow healing graft donor site
The nurse has given instructions to the client with Parkinson's disease about maintaining mobility . The nurse determines that the client understands the directions if the clients states that he or she will :
Rock back and forth to start movement with bradykinesia dexterity
The client has clear fluid leaking from the nose following a basilar skull fracture . The nurse assesses that this is cerebrospinal fluid if the fluid has which of the following characteristics ?
Separates into concentric rings and tests positive for glucose
A nurse is assessing a client's surgical incision for signs of infection . Which finding by the nurse is interpreted as a normal finding at the surgical site ?
Serous drainage
On a hot , humid day , an emergency department nurse is caring for a client who is confused and has these vital signs : temperature 104.1 degrees , pulse 132 bpm , RR 26 bpm , and BP 106/66 mm Hg . What actions would the nurse take ?
Start an intravenous line and infuse 0.9 % saline solution
When preparing to teach a client about phenytoin sodium therapy , the nurse should urge the client not to stop the drug suddenly due to which of the following concerns ?
Status epilepticus may develop
A client is on intravenous heparin to treat a pulmonary embolism . The client reports bleeding gums , and the most recent partial thromboplastin time ( PTT ) was 120 seconds . What action should the nurse take ?
Stop the heparin , and notify the health care provider ( HCP )
A client is on intravenous heparin to treat a pulmonary embolism . The client's most recent partial thromboplastin time ( PTT ) was 25 seconds . What order should the nurse anticipate ? has
Stop the heparin rate contact provider
A nurse is monitoring the status of a postoperative client . The nurse would become most concerned with which of the following signs that could indicate an evolving complication ?
Increase restlessness quadrants
The nurse is assessing a client for decorticate posturing . What should the nurse assess the client for ?
Internal rotation and adduction of arms with flexion of elbows , wrists , and fingers
A client is receiving warfarin after pulmonary embolism ( PE ) . The nurse evaluates the lab results and notifies the physician that the client's warfarin level is therapeutic when which for the following number is reported ?
International normalized ratio ( INR ) 2.8 INR )
A nurse is caring for several clients at risk for shock . Which laboratory values requires the nurse to communicate with the healthcare provider ?
Lactate : 54 mg / dL
The nurse cautions that when cooling down a victim of heatstroke , one must be careful to prevent shivering because shivering can cause which of the following ?
cAn increase in temperature
When taking a client's vital signs on the first postoperative day , the unlicensed assistive Personnel reports to the nurse that the oral temperature is 100 degrees . After encouraging the clients use the incentive spirometer , the nurse should delegate which activity to the UAP ?
continue to monitor the clients temperature
) A client arrives at the emergency department following a motor vehicle collision . The client is not awake and is being bagged with a bag valve mask by paramedics . The client has sustained obvious injuries to the head and face and an open right femur fracture that is bleeding profusely . What will the nurse do first ?
Apply direct pressure to the leg
An unresponsive 79 year old is admitted to the emergency department ( ED ) during a summer heatwave for hypovolemic shock caused by dehydration . The clients core temperature is 105. 4 F , blood pressure 88/50 , pulse 112 beats / min , pulse oximeter is 95 % on room air . Which of the following interventions would the nurse implement first ?
Apply ice packs to armpits and groin area to cool the client
An emergency room nurse assesses a client who was rescued from a home fire . The client suddenly develops a loud , brassy cough . What action would the nurse take first ?
Apply oxygen and continuous pulse oximetry
Which client has the greatest risk for latex allergy ?
A man who has an allergy to avocados and bananas
Which client has the greatest risk for latex allergies ?
A women who is admitted for her seventh surgery
The nurse has instructed the family of a client with a stroke who has homonymous hemianopsia about measures to help the client overcome the deficit . The nurse determines that the family understands the measures to use if they state that they will do which of the following ?
remind the client to turn the head scan the last visual field
The nurse reminds a group of certified nursing assistants ( CNA ) that for a client with an elevated temperature , the quickest and simplest technique to reduce a temperature is which of the following ? the
remove clothing and bed linen-
a client is admitted to the hospital with a diagnosis of Guillain - Barre syndrome . during the nursing admission interview the nurse inquires if the client has a history of which of the following ?
respiratory or gastrointestinal infection during the previous month encounters a person
A clients scheduled for surgery are confused and show signs of dementia . The nurse should ask which person to sign the consent for the client ?
spouse
The nurse is teaching a client with myasthenia gravis about the prevention of myasthenic and cholinergic crisis . The nurse tells the client that this is most effectively done by which of the following ?
taking medication on time to maintain therapeutic blood levels
Which time of the day should the nurse encourage a client with Parkinson's disease to schedule the most demanding physical activities to minimize the effects of hypokinesia ?
to coincide with the peak action of drug therapy
A 30 - year - old female client sustained deep partial thickness burns on the front and back of the right and left leg , front of right arm , and anterior trunk at 2000 while starting a bonfire . The client weighs 63kg . Use the parkland burn formula ( 4mL ) to calculate the flow rate during the first 8 hours ( mL / hr ) after the burn if the client arrived to the ER at 2300 ?
1474
A medication order for a client that weights 80 kg states , infuses dobutamine 250 mg mL D5W at 4 mcg / kg / min . The infusion pump must be set to _ mL / hr ? ( whole number
19
The nurse is working in the triage area of an emergency department , and the following for a client approaches the triage desk at the same time . What is the order in which the nurse will assess these clients ?
2,1,4,3
Correct ) A medication order states , Lactated Ringers 1,000mL IV to infuse over the next 4 hours . What is the infusion rate in mL / hr ? ( record answer as a whole number . Do not use a trailing zero . )
250
a medication order States , infuses 0.9 % normal saline ( NS ) solution 1000 ml IV over 8 hours . The drop factor of the manual IV tubing available is 15 gtt / ml . The nurse should set the flow rate to deliver how many gtt / min ? ( round to nearest whole number
31
a client presents to the emergency room with Burns to the front of both legs and the front torso ( chest and abdomen ) after a firework went off when he was nearby . Estimate the percentage of body surface area burned using the rule of nines
36 %
A nurse is triaging clients in the emergency department . Which client would the nurse classify as urgent ?
A 44 year old with chest pain and diaphoresis
A nurse is triaging clients in the emergency department . Which client would the nurse classify as " non - urgent " ?
A 62 year old with a simple fracture of the left arm
A nurse is reviewing the health records of six clients . Which of the following clients are at risk for developing acute respiratory distress syndrome ? ( Select all that apply
A client who experienced a pulmonary contusion and trauma A client who experienced sepsis A client who experienced inhalation burn A client who experienced a stroke with aspiration A client who experienced a near drowning incident
nurse is evaluating the status of a post operative day 3 client with a craniotomy . Which of the following clinical manifestations would indicate that the client is developing a post operative complication of meningitis . ( SATA )
A positive kernig and brudzinski sign Decreased level of consciousness Fever and chills Severe unrelenting headache
A client with a serious head injury with increased intracranial pressure is to be discharged to a rehabilitation facility . Which outcome of rehab would be appropriate for the client ? The client will :
Actively participate in the rehabilitation process as appropriate
The nurse is caring for a client with suspected severe sepsis . What does the nurse prepare to do within 3 hours of the client being identified as being at risk ? ( SATA )
Administer antibiotics Draw serum lactate levels Obtain blood cultures
A client who is receiving fluid resuscitation per the parkland formula after a serious burn continues to have urine output ranging from 20-25 mL / hr . After the health care provider checks the client , which order does the nurse question ?
Administer furosemide 40 mg IV push
A nurse is caring for a client who experienced a spinal cord injury with recent increased drowsiness upon assessment . Based on the presentation , which of the following should the nurse clarify with the provider ?
Administer intrathecal baclofen ( ITB ) Therapy ??
A 56 - year - old client comes to the triage area with left - sided chest pain , diaphoresis , and dizziness , with an oxygen saturation of 88 % on room air . What is the priority action ?
Administer oxygen via nasal cannula
A nurse in an emergency department is caring for a client with a penetrating trauma from a gunshot and a sucking chest wound . The client has a blood pressure of 101/61 mm Hg , a weak pulse rate of 117 / min , a respiratory rate of 39 / min , and a pulse oximeter reading of 90 % on room air . Which action should the nurse take first in the primary survey ?
Administer oxygen via nonrebreather mask per order
The nurse is assessing a victim in the emergency department that was involved in a motor vehicle accident . Which of the following primary survey assessments would the nurse assess first ?
Airway cervical spine
An emergency department charge nurse notes an increase in sick calls and bickering among the staff after a week with multiple trauma incidents . What action would the nurse take ?
Arrange for critical incident stress debriefing
The nurse comes upon a car accident while driving home from work . Which of the following may be included in the nurse's primary survey of injury ?
Assess LOC Remove clothing soaked with gasoline Apply tourniquet proximal to an actively bleeding open tibia fracture higher
a client has accidentally received twice the normal dose of medication that was administered on the previous shift . What should the nurse who discovers the error do first ?
Assess the client , and note any changes in condition organs
What is the priority nursing intervention in the postictal phase of a seizure ?
Assess the client's breathing pattern
A client who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel . Which of the following does the nurse include during the primary survey of the client .
Assess the clients Glascow Coma Scale
A client who experienced a near drowning accident in a local pool , but now is awake and breathing spontaneously . Is admitted for observation . Which assessment will be most important for the nurse to take during the observation period ?
Auscultate breath sounds
A client has a jackson - pratt drainage tube in place the first day after surgical repair of a ruptured diverticula . The client asks the nurse the purpose of the drains . What is the nurses best response ? The drainage tube is used to prevent " :
Bleeding into the peritoneal cavity
During the first 24 hours after thrombolytic treatment for an ischemic stroke , the primary goal is to control which of the following in the client ?
Blood pressure
A nurse in the Emergency Department is completing an assessment on a client who is in hypovolemic shock . Which findings should the nurse expect ? ( SATA )
Blood pressure 89/41 mm Hg Respiratory rate 41 / min Weak , thready pulse nurse
The client has returned to the surgery unit from the post anesthesia unit PACU ) . The client's respirations are rapid and shallow , the pulse is 120 bpm , and the BP is 88/52 . The client's level of consciousness is declining . What should the nurse do first ?
Call the rapid response team ( RRT ) / medical emergency team
An elderly man was found unresponsive in his home and unable to give a history of any contributing events . The nurse recognizes the man's skin color of " cherry red " as a sign that he has suffered from ?
Carbon monoxide poisoning
The nurse is caring for an elderly client who has suffered from a myocardial infarction . The nurse identifies the need for vigilant monitoring against which form of shock in this client ?
Cardiogenic shock
A client has experienced a pulmonary embolism . A nurse assesses for which most commonly reported symptoms ?
Chest pain that occurs suddenly
A nurse on a medical - surgical unit is caring for a group of clients . The nurse should notify the rapid response team for which of the following clients ?
Client with a central line whose lactic acid level is 6 mmol / L after 2 liters of
A triage officer is discussing mass casualty triage during a tabletop disaster drill . Which statement should indicate the staff member requires further teaching ?
Clients in the urgent category would include shock and airway obstruction
The client recovering from a head injury is arousable and participating in care The nurse determines that the client understands measures to prevent elevations in intracranial pressure if the nurse observes the client doing which of the following activities ?
Exhaling during repositioning
For which event would the hospital's disaster plan typically be activated ?
Explosion at a chemical factory
During a power outage in summer , more individuals with heat related conditions are seen in the local emergency departments . Which of the following is a risk factor for heat related emergencies ?
Heart disease
A client has undergone preadmission laboratory studies , including a CBC , coagulation studies , and electrolytes and creatinine levels . Which of the following laboratory results should be reported to the surgeon's office by the nurse knowing that it could cause the surgery to be postponed ?
Hemoglobin 8.0
When the nurse is assessing victims in an emergency situation , what is the priority to assess ?
Hemorrhage
A nurse is assessing a client's laboratory values before surgery . Which results should the nurse report to the provider ? ( Select all that apply )
Creatinine 2.9 mg / dL Blood glucose 236 mg / dL WBC 17,762 / mm3
A client's blood pressure reading is 104/50 mmHg . After determining the mean arterial pressure , the nurse understands this client is at risk for which of the following complications ?
Decrease in cardiac output following heel
nurse is monitoring the status of a postoperative client . Which of the following clinical manifestations would the nurse be concerned with in a postoperative client ?
Decreased level of consciousness ( LOC min
A nurse wants to become part of a disaster medical assistance team DMAT ) but is concerned about maintaining licensure in several states . Which statement best addresses these concerns ?
Deployed DMAT providers are federal employees , so their licenses are good in all 50 states .
An emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall . Which of these signs would indicate the presence of a pneumothorax in this client ?
Diminished breath sounds drowning understanding of
The nurse has completed discharge instructions for the client with application of a Halo device . The nurse determines that the client needs further clarification of the instructions if the client states that he or she will do which of the following ?
Drink / drive only during the daytime
The nurse is assessing a client in the postictal phase of generalized tonic- clonic seizure . The nurse should determine if the client has which of the following assessment findings ?
Drowsiness
A nurse is assessing a client for changes in the level of consciousness using the Glasgow Coma Scale ( GCS ) . The client opens his eyes when spoken to , withdrawals his extremities when pain is applied , and verbalizes " baseball " when referring to the bathroom " which of the following GCS scores should the nurse document ?
E3 + M4 + V3 = 10
The nurse is concerned about developing post traumatic stress disorder after working for several years in the emergency department . Which of the following should the nurse do to ensure this disorder does not manifest ? ( SATA )
Eat well - balanced meals Drink water Take breaks when needed Do not work more than 12 hours per day
Correct A nurse is assessing a child at the scene of a school bus crash . The child has facial lacerations and audible stridor . The nurse should assign the child to which of the following triage categories ?
Emergency Red
Which manifestation is a typical reaction to long - term phenytoin sodium therapy ?
Excessive growth of gum tissue assesses a brassy cough
When preparing for a surgical procedure , which of the following will influence how the nurse will position the client ( SATA )
Pain on movement in the conscious client The surgical site location
A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden , severe headache and vomiting . The clients vital signs are as followed : blood pressure 197/111 , pulse 81 / min and respirations 26 / min . Which of the following neurologic disorders should the nurse suspect ?
Hemorrhagic stroke
the nurse is caring for several clients on the Burn Unit who have sustained extensive tissue damage . The nurse should monitor for which electrolyte imbalance that is typically associated with initial third spacing fluid shift ?
Hyperkalemia
The experienced nurse is teaching a new nurse about hospital emergency plans and personal emergency preparedness . Which statement by the new nurse indicates a need for further teaching ?
I need to know exactly how long this is expected to last or I should have enough to supplies to last me 1-2 days
A client with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department . The nurse determines that discharge teaching has been effective when the client makes which statement ?
I should drink electrolyte sports drinks when working outside in hot weather
The nurse is aware that the treatment for frostbite includes the following : ( SATA )
Immersion of hands and feet in warm water Administering opioids to reduce pain Elevating the affected limbs
A nurse prepares to administer pantoprazole to a client who has a new burn injury . The client states " Why am I taking this medication ? " How Should the nurse respond ?
It helps prevent stomach ulcers , which are common after burns that apply Lubs
client has been positioned in the lithotomy position under general anesthesia for a pelvic procedure . In which anatomic area may the client expect to experience postoperative discomfort ?
Legs
Which findings will the nurse observe in the client in the ictal phase of generalized tonic - clonic seizure ?
Loss of consciousness , body stiffening , and violent muscle contractions
A student nurse is caring for a client who suffered massive blood loss after trauma . How does the student nurse correlate the blood loss with the clients mean arterial pressure ( MAP ) ?
Lower blood volume lowers MAP
A student nurse is caring for a client who suffered massive blood loss after trauma . How does the student nurse correlate the blood loss with the clients mean arterial pressure MAP
Lower blood volume lowers MAP
The client recovering from a head injury is arousable and participating in care . Which of the following demonstrates effective client teaching on the prevention of increased intracranial pressure ?
Maintain an elevated head of bed to 30 degrees
Which of the following would be classified as an external disaster ? chips and antitussive
Massive flooding and sips
A nurse is planning care for an adult client who sustained burn injuries . Which interventions should the nurse include in the plan of care ? ( SATA )
Monitor for constipation with morphine medication orders Wash hands before and after dressing changes Contact primary health care provider for purulent drainage or fever
A spectator at the little league playoffs in the month of August faints in the sun drenched stands . His face is flushed , and his skin is hot to the touch . Which would be an appropriate intervention for this client ?
Move him to a shady area , and wet his clothes with water
A nurse is field - triaging clients after an industrial accident . Which client condition would the nurse triage with a red tag ?
Multiple fractured ribs and shortness of breath
The nurse is assessing the motor function of an unconscious client . The nurse would plan to use which of the following to test the client's peripheral response to pain ?
Nail bed pressure
Assessment findings of the client with trauma injuries reveal cool , pale skin ; reported thirst , urine output 100 mL / 6hr , blood pressure 106/78 mm Hg , pulse 110 beats / min , RR 24 bpm decreased breath sounds . This client is in what phase of shock ?
Nonprogressive
A nurse caring for a client notes the following assessments : white blood cell count 3800 / mm3 , blood glucose level 198 mg / dL , and temperature 96.2f . What action by the nurse takes priority ?
Notify the health care provider immediately
The nurse is helping to prepare a client for non - emergency surgery . The nurse should perform which of the following ?
Obtain informed consent from the client
The spouse of a 67 year old client with early stage Alzheimer's disease ( AD ) tells the nurse , " I am exhausted from worrying all the time , i don't know what to do " Which actions are best for the nurse to take next ? ( SATA )
Offer ideas for ways to distract or redirect the client Teach the spouse about adult day care as a possible respite Ask the spouse what she knows and has considered about dementia care options
A nurse is caring for five clients . For which clients would the nurse assess a high risk for developing a pulmonary embolism ( PE ) ( SATA ) .
Older client who is 1 day post op hip replacement surgery Young obese client with fractured femur Client with a new DVT Older adult with chronic atrial fibrillation
The client will have an electroencephalogram ( EEG ) in the morning . The nurse should instruct the client to have which foods / fluids for breakfast ?
Only A full breakfast as desired without coffee , tea , or energy drinks
The client with a spinal cord injury is prone to experiencing autonomic dysreflexia . The nurse would include which of the following measures to minimize the risk of recurrence ? 12 hours
Strict adherence to a bowel retraining program or Perform self - catheterization every 2-4 hrs
The nurse is assessing a client for decerbrate posturing . What should the nurse assess the client for ?
Supination of arms and dorsiflexion of the feet
A client is to be discharged from same - day surgery 7 hours after his inguinal hernia repair . Which nursing observation indicates this client is ready to be discharged ?
The client voids 500 mL of urine The client has active bowel sounds The client walks in the hallway unassisted
prescription A 36 - year old female is admitted for an elective surgical procedure . Which information obtained by the nurse during the preoperative assessment is most important to report to the anesthesiologist before surgery ?
The client's statement that her last menstrual period was 8 weeks previously
A nurse wants to become involved in community disaster preparedness , and is interested in helping set up and staff first aid stations or community acute care centers in the event of a disaster . Which organization is the best fit for this nurse's interests ?
The medical reserve corps
The nurse is assessing a client for the adequacy of ventilation . What assessment findings would indicate the client has good ventilation ? ( SATA ) breath sounds
The oxygen saturation level is 98 % Nail bed are pink with good capillary refill There is a presence of quiet , effortless breath sounds at lung bases bilaterally consciousness client
The nurse in the emergency department is using a triage system because this system ranks clients by what ?
The severity of illness or injury
The nurse is caring for a client diagnosed with heat stroke . The nurse anticipates which one of the following orders ?
Use continuous core temperature - monitoring device movement so
The low - pressure alarm sounds on a ventilator . A nurse assesses the client and then attempts to determine the cause of the alarm . The nurse is unsuccessful in determining the cause of the alarm and takes what initial action ?
Ventilates the client manually
The nurse assesses the frostbite on a clients hands and feet to be third degree frostbite because the skin has which of the following assessment findings ?
Waxy non blanchable areas with blood filled blisters
A client with a head injury regains consciousness after several days . When the client first awakes , What should the nurse say to the client ?
You are in the hospital . You were in an accident and unconscious
After receiving a report for clients , the nurse determines the order of care for the clients . Based on the report , the nurse will prioritize the clients to see which one first ?
a healthy 18 year old with rapid shallow respirations
When at a public place , a nurse encounters a person immediately after a bee sting . The person's lips are swollen , and wheezes are audible . What action would the nurse take first ?
administer an EpiPen from the first aid kit in call 911
A nurse is caring for a client after surgery The client's respiratory rate has increased from 12 to 18 breaths per minute . And the pulse rate increased from 86 to 98 beats per minute since the client was last with us 4 hours ago . What is the priority assessment for this client ?
assess the client's tissue perfusion further
A nurse is caring for a client suspected of having a heat stroke . Which findings are consistent with this diagnosis ? ( SATA )
b.Tachycardia Dysrhythmias Hallucinations decreased urinary output
A client with multiple sclerosis ( MS ) is receiving baclofen . The nurse determines that the drug is effective with which of the following outcomes
c.relieve muscular spasticity
A nurse works at a community center for older adults . What self- management measures can the nurse teach the clients to prevent shock ?
drink fluids on a regular schedule
Which of the following describes the process of initial surveillance of victims injury severity when administering first aid in an emergency situation ?
emergency Triage
The nurse is evaluating the neurological signs of a client in spinal shock following spinal cord injury . Which of the following observations by the nurse indicates that spinal shock persisted ?
flaccid paralysis
a nurse prepares to administer intravenous cimetidine to a client who has a new brain injury . The client asks , why am I taking this medication ? How would the nurse respond ?
helps prevent stomach ulcers , which are common after Burns
a client arrives in the emergency department with an ischemic stroke . Because the healthcare team is considering ministering tissue plasminogen activator ) t - PA ) Administration the nurse should perform which of the following first ?
identify the time of onset of the stroke
the nurse is assessing a client with multiple traumas who is at risk for developing acute respiratory distress syndrome ( ARDS ) . the nurse assesses for which earliest sign of acute respiratory distress syndrome ?
increased respiratory rate
A student nurse is caring for a client who suffered massive blood loss after trauma . How does a student nurse correlate the blood loss with the client mean arterial pressure ( MAP ) ?
lower blood volume lower ( decrease ) the map
A nurse is assessing a child at the sea Navy school bus crash . The child has several bruises and a superficial 5 centimeter laceration that has stopped bleeding on the left arm . The nurse should assign the child to which of the following triage categories ?
not urgent / green
Following a stroke , a client has dysphagia and left sided facial paralysis . Which feeding techniques will be most helpful at this time ?
offer solid foods from the unaffected side of the mouth
a nurse is assessing the respiratory status of a client who has suffered a fractured rib . The nurse would expect to note which of the following ?
pain , especially with inspiration
a client with which situation would best benefit from always carrying an EpiPen
previous allergic reaction to a wasp sting
