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QUESTION: An 8-yrear old girl is an unrestrained passenger in a vehicle struck from behind. In the emergency department her blood pressure is 80/60 mm Hg, heartrate is 80 beats per minute and respiratory rate is 16 beats per minute. Her GCS score is 14. She complains that her legs feel "funny and won't move right" However, her spine x-rays do not show a fracture or dislocation. A spinal cord injury in this child: ANSWERS i) Is most likely a central cord syndrome. ii) Must be diagnosed by ma...

18.A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury, multiple palpable left rib fractures, and bilateral femur fractures. He is intubated orotracheally without difficulty. Initially, his ventilations are easily assisted with a bag-valve device. It becomes more difficult to ventilate the patient over the next 5 minutes, and his hemoglobin oxygen saturation level decreases from 98% to89 % . The most appropriate next step is to a. obtain a chest x-ray. b. decrease...

13. The nurse is preparing to discontinue total parenteral nutrition (TPN) therapy for a patient who has been receiving TPN for several days. The nurse will contact the provider to discuss an order for a. antibiotics. b. intravenous insulin. c. intravenous dextrose. d. nasogastric feedings. ANS: C Abruptly discontinuing TPN can lead to hypoglycemia. Patients should receive dextrose solution for 12 to 24 hours after TPN is discontinued to prevent this reaction. Antibiotics are used when sig...

40. A nurse at a provider's office is counseling a client who reports insomnia. Which of the following statements should the nurse make to include the client's preferences into a sleep promotion plan? • Sleep in the location of your home where you feel you rest best • Rationale: The nurse should encourage the client to sleep wherever she feels she gets the most rest, whether it be a bed, couch, or chair. 41. A nurse is teaching an older adult client about accessing electronic resources ...

Question:-a nurse at a crisis center is meeting with a client who reports that his adolescent daughter has been increasingly defiant since his divorce 2 years ago. the client states, "i'm so stressed that i can't take this anymore." which of the following actions should the nurse take first? a. refer the client and his daughter for family therapy. b. recommend that the client attend a support group for guardians of adolescents. c. identify the client's current coping strategies. d. te...

A charge nurse is preparing to administer 0900 medications and is told by the pharmacy staff that the medications are not available. Medication availability has been an ongoing problem, and the charge nurse has previously discussed this issue with the pharmacy staff. Which of the following actions should the charge nurse take first? Document the actual time of medication administration Notify the risk manager Complete an incident report Inform the nurse manager of the issue ANSWER Inform the...

With regard to supervision, a PTA licensure applicant: a. shall at all times function under the on-site supervision of either a PT or PTA b. may only practice at the level of an aide/technician c. may function independently doing treatment but not evaluation d. shall at all times function under the on-site supervision of a licensed physician - Answer a. shall at all times function under the on-site supervision of either a PT or PTA A supervising physical therapist and physical therapist as...

What occurs during an acute asthma attack? (Select all that apply.) Selected Answers: Sputum is often thick, tenacious, scant, and viscid. Bronchoconstriction occurs. Residual lung volume increases. Forced expiratory volumes decrease. Correct Answers: Sputum is often thick, tenacious, scant, and viscid. Bronchoconstriction occurs. Residual lung volume increases. Forced expiratory volumes decrease. Response Feedback: Sputum is often thick, tenacious, scant, and viscid. Bronchospasm are e...

Chapter 41 1. Anabolism: insulin, anabolic steroids. Available foodstuffs (in blood), glucose, amino acids, free fatty acids (liver can convert amino acids and free fatty acids into ketones)  stored foodstuffs (in cells), glycogen, proteins, triglycerides. 2. Catabolism: glucagon, epinephrine, cortisol. Stored foodstuffs (in cells), glycogen, proteins, triglycerides  available foodstuffs (in blood), glucose, amino acids, free fatty acids. 3. Pancreas: exocrine and endocrine. Exocrine...

32. Have to ensure they can maintain a level of independence when taking medications and completing ADLs 33. Simple drug regimen 34. Clear labels and instructions 35. Reminders 36. Support system like family member or caregiver to help with administration 37. Adequate finances or financial assistance 38. What is polypharmacy? Correct answer- The use of many different drugs concurrently in treating a patient, who often has several health problems, such as older adults. 39. What can we do t...