N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide 26. Your patient presents to the Emergency Department reporting a raccoon bite. You cleanse the wound, apply a sterile dressing, and administer a prophylactic rabies vaccine. What would your priority nursing diagnosis be at discharge? a. Impaired tissue integrity b. Anxiety c. Ineffective breathing pattern d. Knowledge deficit 27. Pain intensity is best determined by asking the patient: a. To rate pain on a scale of 1-10 b. About pain quality c. To describe any associated symptoms d. How they were injured 28. Which of the following complications is NOT a complication of thermal burns your patient received in a house fire? a. Pain b. Arrhythmias c. Hypothermia d. Infection 29. Your job as a circulating nurse in the O.R. is to position your patient for surgery. Which of the following is NOT true for proper positioning in surgical procedures? a. Allow for airway maintenance and proper access to administer medications b. Maintain a good and proper body alignment to protect bony prominences c. Provide optimal exposure to site of surgical procedure d. Do not take surgeon’s preference into consideration 30. You’re the nurse caring for a 27-year-old plumber who was hurt at work. As the emergency room nurse caring for the patient, you understand: a. There would be no need to assess the patient’s tetanus immunization status b. Your patient is at high-risk for complications in regard to age c. Tissue trauma due to accidents is common in healthy young adults d. You will need to perform toxicology testing because of a work-related accident ©2017 Achieve Test Prep Page 186 of 204

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