This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits ... (Read 92 times)

dalyningkenk

  • Hero Member
  • *****
  • Posts: 598
on: Jun 25, 2018
An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits bizarre behaviors. After administering oxygen, which priority intervention should the nurse implement?
 
  a. Administer dexamethasone (Decadron).
  b. Complete a mini-mental state examination.
  c. Prepare the client for computed tomography of the brain.
  d. Request a psychiatric consult.

Question 2

An emergency department nurse assesses a client admitted after a lightning strike. Which assessment should the nurse complete first?
 
  a. Electrocardiogram (ECG)
  b. Wound inspection
  c. Creatinine kinase
  d. Computed tomography of head


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

leahm14

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
The client is exhibiting signs of mountain sickness and high altitude cerebral edema (HACE). Dexamethasone (Decadron) reduces cerebral edema by acting as an anti-inflammatory in the central nervous system. The other interventions will not treat mountain sickness or HACE.

Answer to Question 2

ANS: A
Clients who survive an immediate lightning strike can have serious myocardial injury, which can be manifested by ECG and myocardial perfusion abnormalities. The nurse should prioritize the ECG. Other assessments should be completed but are not the priority.


dalyningkenk

  • Member
  • Posts: 598
Reply 2 on: Jun 25, 2018
Excellent

meganmoser117

  • Member
  • Posts: 303
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Rocky Mountain elk in Yellowstone National Park Rocky Mountain elk in Yellowstone National Park
The grey nurse shark is critically endangered on the Australian east coast. The grey nurse shark is critically endangered on the Australian east coast.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
A medical records department. (Paper records are becoming obsolete, replaced by electronic records.) A medical records department. (Paper records are becoming obsolete, replaced by electronic records.)
Drugs for Hypertensive Emergency Drugs for Hypertensive Emergency
Emergency Contraception Emergency Contraception
Video: Spinal Cord Injury Animation

For a complete list of videos, visit our video library