The nurse is caring for a client in the emergency department who has accidently ingested anunknown caustic substance. Which action is most appropriate for the nurseto take?Answers: A-DA Contact poison control.B Administer a cathartic.C Induce vomiting.D Administer syrup of ipecac.53.A client has experienced burns to his upper thighs and knees. Following the application ofnew wound dressings, the nurse should perform what nursing action?Answers: A – DA Assist with passive range-of-motion exercises to “set” the new dressing.B Administer as needed (PRN) analgesia as prescribed.C Instruct the client to keep the wound site in a dependent position.D Assess the client’s peripheral pulses distal to the dressing.54.The nurse is caring for a client with atrial fibrillation. The nurse should monitor the client forwhich complication?Answers: A-DA Cerebral vascular accidentB Pulmonary edemaC Aortic stenosisD Hypothyroidism55.Which antiarrhythmic medication is the drug of choice for treating ventricular fibrillation orpulseless ventricular tachycardia in cardiac arrest situations?Answers: A – DA DofetilideB DigoxinC AmiodaroneD V erapamil56.The nurse is assessing a client with burns to the left arm. Which assessment findings suggestthe development of compartment syndrome? Select all that apply.Answers: A-EA Capillary refill greater than three secondsB Increased radial pulse strengthC Decreased sensationD Warm extremityE Decreased radial pulse strength57.The client diagnosed with a brain tumor is prescribed intravenous dexamethasone. Whichintervention should the nurse implement when administering this medication?Answers: A-DA Administer the medication with normal saline onlyB Monitor the client’s glucose level.C Determine if the client has oral candidiasis.D Check the client’s platelet count.58.The nurse is caring for a client with a blast injury. Which assessment findings are consistentwith a blast lung? Select all that apply.Answers: A-EA DyspneaB HypotensionC CoughD Thick sputumE Chest pain59.What is a potential complication of amyotrophic lateral sclerosis?Answers: A-DA Urinary tract infection.B Respiratory failureC Increased intracerebral pressure.D Cor pulmonale60.A 17-year-old who sustained a head injury in a motorcycle collision 2 days ago is responsiveonly to pain. Which intravenous (IV) fluid order should the nurse questionbecause it could increase the risk of complications?Answers: A-DA 0.9% sodium chloride (0.9% NaCl)B 5% dextrose in water (D5W)C 3.0% normal salineD Lactated ringer’s solution
[Answered]: The nurse is caring for a client in the emergency…
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