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Author Question: A client admitted for injuries sustained in a motor vehicle crash states to the nurse, I was hurt ... (Read 153 times)

DelorasTo

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on: Jun 25, 2018
A client admitted for injuries sustained in a motor vehicle crash states to the nurse, I was hurt much worse the last time I crashed the car. Which action by the nurse is appropriate to assist this client?
 
  A) Report the client to the department of motor vehicles.
  B) Find out what caused today's car accident.
  C) Ask if he enjoys crashing his cars.
  D) Suggest attending a driver's safety course to learn how to avoid crashes.

Question 2

The nurse is preparing to provide an enteral feeding to a preterm infant. Which is the priority nursing action prior to administering the feeding?
 
  A) Weigh the current diaper.
  B) Measure abdominal girth.
  C) Weigh the baby.
  D) Measure pulse oximetry.


bassamabas

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: D

The client is a repeat offender with motor vehicle accidents and would most likely benefit from a driver's safety course. This is what the nurse should suggest to the client. The nurse should not ask the client if he enjoys crashing cars or ask why he had an accident today. The nurse should not report the client to the department of motor vehicles.

Answer to Question 2

Answer: B

Before each feeding, the nurse should measure the abdominal girth to determine abdominal distention, which is seen in necrotizing enterocolitis or paralytic ileus. Weighing the baby and weighing diapers are interventions to assess for fluid volume status. Measuring pulse oximetry is an intervention for assessing oxygenation.


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