Saving vomitus for laboratory analysis Placing the client in the supine

Saving vomitus for laboratory analysis placing the

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Saving vomitus for laboratory analysis Placing the client in the supine position Determining the type and amount of substance ingested Removing any visible materials from the nose and mouth Inducing vomiting if a household cleaner has been ingested Assessing the client’s airway patency, breathing, and circulation 38. A nurse is assigned to care for a client with an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator that requires frequent suctioning. While gathering the needed supplies before entering the client’s room, which necessary protective items does the nurse obtain? Select all that apply. Mask Gown Gloves Face shield Shoe protectors 39. A nurse is assisting with disaster relief after a tornado. The nurse’s goal with the overall community is to prevent as much injury and death resulting from the uncontrollable event as possible. Finding safe housing for survivors, providing support to families, organizing counseling sessions, and securing physical care when needed are all examples of which level of prevention? Initial Primary Tertiary Secondary 40. A nurse in a postanesthesia care unit (PACU) receives a client from the operating room. For what finding should the PACU nurse assess the client first?
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Airway patency Active bowel sounds Adequate urine output Orientation to surroundings 41. A staf nurse caring for a client with a head injury notes that the client is restless and pulling at the intravenous (IV) line. The client’s primary health care provider does not want to prescribe sedation, and the family has requested that the client not be restrained. Which action by the nurse is best? Asking a family member to sit with the client Asking a nursing assistant to monitor the client Staying with the client and consulting with the nurse manager about the situation Telling the family that the application of wrist restraints is critical in preventing injury to the client 42. A nurse manager of an emergency department (ED) arrives at work and is told that four registered nurses scheduled to work will not be reporting to work because they are ill. Every trauma room is busy, and emergency medical services (EMS) has just called to report that several victims involved in a 10-car wreck on the interstate will be brought to the ED. The nurse manager initially manages this situation by: Telling EMS to take the victims to another hospital Closing the emergency department temporarily to incoming clients Calling the nursing supervisor to discuss activation of the disaster plan Demanding that the nurses from the night shift stay until all of the victims have been treated 43. A nurse responds to an external disaster that occurred in a large city when a building collapsed. Numerous victims require treatment.
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