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Saving vomitus for laboratory analysisPlacing the client in the supine positionDetermining the type and amount of substance ingestedRemoving any visible materials from the nose and mouthInducing vomiting if a household cleaner has been ingestedAssessing the client’s airway patency, breathing, and circulation38. A nurse is assigned to care for a client with an infection causedby methicillin-resistant Staphylococcus aureus (MRSA). The client hasan abdominal wound that requires irrigation and has a tracheostomyattached to a mechanical ventilator that requires frequentsuctioning. While gathering the needed supplies before entering theclient’s room, which necessary protective items does the nurseobtain? Select all that apply.MaskGownGlovesFace shieldShoe protectors39. A nurse is assisting with disaster relief after a tornado. Thenurse’s goal with the overall community is to prevent as much injuryand death resulting from the uncontrollable event as possible.Finding safe housing for survivors, providing support to families,organizing counseling sessions, and securing physical care whenneeded are all examples of which level of prevention?InitialPrimaryTertiarySecondary40. A nurse in a postanesthesia care unit (PACU) receives a clientfrom the operating room. For what finding should the PACU nurseassess the client first?
Airway patencyActive bowel soundsAdequate urine outputOrientation to surroundings41. A staf nurse caring for a client with a head injury notes that theclient is restless and pulling at the intravenous (IV) line. The client’sprimary health care provider does not want to prescribe sedation,and the family has requested that the client not be restrained. Whichaction by the nurse is best?Asking a family member to sit with the clientAsking a nursing assistant to monitor the clientStaying with the client and consulting with the nurse manager about the situationTelling the family that the application of wrist restraints is critical in preventing injury to the client42. A nurse manager of an emergency department (ED) arrives atwork and is told that four registered nurses scheduled to work willnot be reporting to work because they are ill. Every trauma room isbusy, and emergency medical services (EMS) has just called to reportthat several victims involved in a 10-car wreck on the interstate willbe brought to the ED. The nurse manager initially manages thissituation by:Telling EMS to take the victims to another hospitalClosing the emergency department temporarily to incoming clientsCalling the nursing supervisor to discuss activation of the disaster planDemanding that the nurses from the night shift stay until all of the victims have been treated43. A nurse responds to an external disaster that occurred in a largecity when a building collapsed. Numerous victims require treatment.