A nurse is providing care to an older adult client who has frostbite of the feet. Which action would be least appropriate?
a) Placing sterile cotton between the toes after rewarming
b) Restricting ambulation
c) Massaging the feet
d) Providing an analgesic for pain
Asnwer: Massaging the feet
Emergency
- A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has a complete airway obstruction based on which of the following?
- Which of the following solid organs is most frequently injured in a penetrating trauma?
- A patient presents to the ED complaining of choking on a chicken bone. The patient is breathing spontaneously. The nurse applies oxygen and suspects a partial airway obstruction. Which of the following should the nurse do next?
- A client arrives at the emergency department and is experiencing a severe allergic reacton to a bee sting. The client received treatment and is being discharged. Which client statement indicates that additional teaching about exposure prevention is needed?
- A 40-year-old female patient is admitted to the ED with facial bruises and a broken right wrist. Upon further assessment, the nurse notes multiple bruises in various stages of healing. Which of the following is the nurse's best course of action?
- A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of the following would be most appropriate to do?
- A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement?
- Which of the following solutions should the nurse anticipate for fluid replacement in the male patient?
- The nurse in the ED is triaging patients during the shift. What does the nurse know is the first priority in treating any patient in the ED?
- Which of the following triage categories refers to life-threatening or potentially life-threatening injury or illness requiring immediate treatment?
- A patient was bitten by a tick 3 months ago and is now having muscle aches as well as joint pain and swelling. The patient is having difficulty with self care and requires assistance with activities of daily living (ADLs). What stage of Lyme disease does the nurse recognize the patient is in?
- Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks?
- Which category of triage encompasses patients with serious health problems that are not immediately life threatening?
- A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What intervention should the nurse provide prior to the procedure?
- A nurse is assessing a patient who is suspected of having a partial airway obstruction. Which of the following would the nurse expect to find?
- A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying on his back; he is unconscious and isn't breathing. What maneuver should the nurse use to open his airway?
- Which of the following guidelines is appropriate to helping family members cope with sudden death?
- The nurse is caring for a patient in the ED following a sexual assault. The patient is hysterical and crying. The patient states, "I know I'm pregnant now, maybe I have HIV; why did this happen to me?" The nurse's best response is which of the following?
- A patient presents to the ED following a motor vehicle collision. The patient is suspected of having internal hemorrhage. The nurse assesses the patient for signs and symptoms of shock. Signs and symptoms of shock include which of the following?
- What is a common source of airway obstruction in an unconscious client?
- A nurse is establishing a patient's airway. Which action would the nurse perform first?
- An adolescent is brought to the ED after a vehicular accident and is pronounced dead on arrival (DOA). When the parents arrive at the hospital, what is the priority action by the nurse?
- Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. The nursing observation that most suggests the client is bleeding is:
- A patient is admitted to the ED after a near-drowning accident. The patient is diagnosed with saltwater aspiration. The nurse will observe the patient for several hours to monitor for symptoms of which of the following?
- A patient presents to the ED with serious health problems that are not immediately life threatening. The nurse will correctly triage the patient into which of the following categories?