27. A nurse is educating a group of adults about secondary illness prevention. Which of the following actions is an example of secondary prevention?
41. A client is receiving a high-dose dopamine infusion for…
41. A client is receiving a high-dose dopamine infusion for shock. The nurse notices redness and swelling at the IV site. What is the priority action?
5. A nurse is caring for a client admitted to the emergency…
5. A nurse is caring for a client admitted to the emergency department (ED) following an injury. The nurse demonstrates concern and involves the client’s family in the decision making. Which of the following outcomes is the nurse’s primary goal from this interaction?
35. The nurse is preparing to discharge a client who had abd…
35. The nurse is preparing to discharge a client who had abdominal surgery. Which of the following statements by the client indicates a need for further teaching?
44. A nurse is caring for a client with asthma who is receiv…
44. A nurse is caring for a client with asthma who is receiving subcutaneous epinephrine. Which adverse effect should the nurse report to the provider immediately?
43. The nurse finds a client unresponsive, with no pulse and…
43. The nurse finds a client unresponsive, with no pulse and no respirations. What is the first action the nurse should take?
28. A client arrives at the clinic after prolonged sun expos…
28. A client arrives at the clinic after prolonged sun exposure and reports dizziness, excessive sweating, and a rapid heart rate. The nurse suspects heat exhaustion. Which action should the nurse take first?
9. A client presents to the emergency department with a body…
9. A client presents to the emergency department with a body temperature of 41°C (105.8°F), dry skin, and confusion. What is the nurse’s priority action?
47. A 35-year-old male patient is admitted to the emergency…
47. A 35-year-old male patient is admitted to the emergency department after sustaining severe burns from a house fire. The burn specialist uses the “Rules of Nine” to estimate the percentage of body surface area (BSA) burned. According to the Rule of Nines, which of the following percentages of BSA would be the most appropriate for the assessment of burns on the patient’s anterior torso, posterior left arm, and anterior right arm?
46. A 6-year-old child weighing 22 kg is brought to the emer…
46. A 6-year-old child weighing 22 kg is brought to the emergency department for a suspected bacterial infection. The physician orders an IM injection of antibiotic. The recommended dosage of the antibiotic is 30 mg/kg of body weight. The antibiotic is available in a concentration of 250 mg/5 mL. What is the correct dose of the antibiotic to administer to the child in milligrams, and what volume (in mL) of the antibiotic solution should be drawn from the vial?