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? (Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids
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A, C, D, E
, A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
Give this one a go later!
B, C, E
A nurse is caring for a client who has a spinal cord injury who reports a severe headache
and is sweating profusely. Vital signs include BP 220/110 mm Hg and apical HR 54/min.
Which of the following actions should the nurse take first?
A. Notify the provider
B. Sit the client upright in bed
C. Check the urinary catheter for blockage
D. Administer antihypertensive medication
Give this one a go later!
B
A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? (Select all that
pond and is unresponsive and breathing slowly. Which of the following actions should
the nurse take? (Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids
Give this one a go later!
A, C, D, E
, A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
Give this one a go later!
B, C, E
A nurse is caring for a client who has a spinal cord injury who reports a severe headache
and is sweating profusely. Vital signs include BP 220/110 mm Hg and apical HR 54/min.
Which of the following actions should the nurse take first?
A. Notify the provider
B. Sit the client upright in bed
C. Check the urinary catheter for blockage
D. Administer antihypertensive medication
Give this one a go later!
B
A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? (Select all that
