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A nurse on a medical-surgical unit is caring for a group of clients. The nurse should notify the
rapid response team for which of the following clients?
Client who reports right calf pain and shortness of breath.
A nurse is caring for a client who has ingested a toxic agent. Which of the following actions
should the nurse plan to take? SATA
Instill activated charcoal.
Perform a gastric lavage with aspirations.
Infuse IV fluids.
A nurse in the emergency department is caring for a client who fell through the ice on a pond
and is unresponsive and breathing slowly. Which of the following actions should the nurse take?
SATA
Remove wet clothing.
Apply warm blankets.
Use a rapid rewarming water of 40 degrees to 42 degrees celcius.
Infuse warmed IV fluids.
A nurse in the emergency department is assessing a client who is unresponsive. The client's
partner states, "He was pulling weeds in the yard and slumped to the ground." Which of the
following techniques should the nurse use to open the client's airway?
Head-tilt, chin-lift.
, A nurse is reviewing the common emergency management protocol for clients who have
asystole. Which of the following actions should the nurse plan to take during this cardiac
emergency?
Administer IV epinephrine.
A nurse is caring for a client who displays manifestations of stage Ill.Parkinson's disease. Which
of the following actions should the nurse include?
Provide a walker for ambulation.
A nurse is developing a plan of care for the nutritional needs of a client who has stage IV
Parkinson's disease. Which of the following actions should the nurse include? SATA
Record diet and fluid intake daily.
Offer cold fluids such as milkshakes.
Offer nutritional supplements between meals.
A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new
prescription for bromocriptine. Which of the following instructions should the nurse include?
Rise slowly when standing.
A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are
expected findings? SATA
Pill-rolling tremor of the fingers.
Shuffling gait.
Bilateral ankle edema.