The new graduate nurse has attended an in-service regarding ...

[Alygatorr01285]

The new graduate nurse has attended an in-service regarding emergency preparedness for the hospital. The nurse has two small children and lives in a two-story house in the suburbs.
 
  After the class, the nurse plans to initiate which action as the most important for family safety? 1. Installing a water purification system in the home.
   2. Installing a generator for the house.
   3. Obtaining a fire escape ladder for the second floor of the home.
   4. Installing deadbolt locks on the doors.

Question 2

The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery. Which of the following would be considered the priority nursing diagnosis for this client?
 
  1. Ineffective Airway Clearance
   2. Excess Fluid Volume
   3. Decreased Cardiac Output
   4. Ineffective Coping

[Dominic]

Answer to Question 1

3. Obtaining a fire escape ladder for the second floor of the home.

Rationale:
The priority action for protecting the nurse's family is obtaining a fire escape ladder for the second floor. Water purification may be important, depending on the quality of the water, but obtaining a fire escape ladder is the priority. Installing a generator may be useful in the case of a power outage, but obtaining a fire escape ladder is the priority. Deadbolt locks are good to keep intruders out, but protecting the family from entrapment by fire is the priority.

Answer to Question 2

3. Decreased Cardiac Output

Rationale:
The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is decreased cardiac output because of low blood volume. There is not enough information to determine whether the client does or does not have ineffective airway clearance. The client will most likely not be experiencing excess fluid volume. There is not enough information to determine whether the client is or is not experiencing ineffective coping.

[Alygatorr01285]

TYSM

[debra928]

Excellent