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When all five of the contestants in a custard pie-eating contest arrive at the emergency department with vomiting and diarrhea,the nurse suspects that these signs are related to the contamination of the pies by _______________.

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Staphylococcus aureus
Staphylo...

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A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step: 2


A) Tell neighbor's wife to call 911.
B) Assess for heartbeat.
C) Initiate cardiopulmonary resuscitation (CPR) if no respiration or circulation can be assessed.
D) Assess for signs of breathing.
E) Shake patient and call name to assess for level of consciousness (LOC) .

F) C) and D)
G) A) and D)

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Matching The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it.(Use each option one time only.) -Administration of inodilators


A) Cardiogenic shock
B) Hypovolemic shock
C) Anaphylactic shock
D) Neurogenic shock
E) Insulin shock

F) C) and E)
G) B) and D)

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A diving accident occurs at the community pool and the victim is conscious and in pain.Which intervention is most appropriate pending the arrival of emergency medical personnel?


A) Pulled up onto the side of the pool
B) Pulled to the shallow end and covered with a towel
C) Left in the pool and supported by a large float
D) Supported in the pool while CPR is attempted

E) All of the above
F) B) and C)

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Matching The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it.(Use each option one time only.) -Administration of glucose orally or IV


A) Cardiogenic shock
B) Hypovolemic shock
C) Anaphylactic shock
D) Neurogenic shock
E) Insulin shock

F) B) and C)
G) A) and B)

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The first responder to an automobile accident finds a victim with a sucking chest wound.The responder should:


A) tightly bind the injury with a folded magazine and the patient's belt.
B) place a plastic sandwich bag over the wound and tape on three sides to make a flutter dressing.
C) turn the patient to the affected side and instruct the patient to deep breathe.
D) place the patient's hand over the wound and tell the patient to press down.

E) A) and D)
F) None of the above

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The nurse is reviewing the physician's notes on a patient's chart.The nurse notes that the patient demonstrated Cullen's sign.The nurse correctly recognizes that this patient most likely had which manifestation?


A) Sharp flank pain
B) Pain in the upper right quadrant of the abdomen
C) Pain with inspiration
D) A bluish tinge around the umbilicus

E) All of the above
F) A) and C)

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The nurse counsels a group of young track athletes that to prevent heatstroke they should: (Select all that apply.)


A) drink plenty of fluids with high sugar content.
B) wear lightweight, loose clothing.
C) practice in the early morning.
D) rest frequently in cool places.
E) wear dark-colored clothing to block sun rays.

F) D) and E)
G) C) and D)

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A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step: 4


A) Tell neighbor's wife to call 911.
B) Assess for heartbeat.
C) Initiate cardiopulmonary resuscitation (CPR) if no respiration or circulation can be assessed.
D) Assess for signs of breathing.
E) Shake patient and call name to assess for level of consciousness (LOC) .

F) C) and D)
G) B) and E)

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The nurse is teaching a CPR class.During the class the nurse correctly includes which statement when discussing the Good Samaritan Law?


A) The Good Samaritan Law protects only medical professionals from liability.
B) The Good Samaritan Law protects all people from liability.
C) The Good Samaritan Law limits the liability of a medical professional.
D) The Good Samaritan Law defines specific situations in which no liability will occur.

E) B) and C)
F) A) and C)

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A victim of a knife fight is found lying in a parking lot with a loop of bowel protruding from an abdominal wound.The first responder should:


A) attempt to replace the bowel back into the abdomen.
B) wrap the victim's shirt tightly around his body.
C) cover the evisceration with a plastic shopping bag.
D) assist the victim to flex his thighs against his abdomen.

E) B) and D)
F) C) and D)

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The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia when outdoors for long periods of time,which includes: (Select all that apply.)


A) wearing multiple layers of clothing.
B) wearing a snug-fitting hat.
C) moving about briskly.
D) drinking warm fluids from thermos.
E) wearing gloves and earmuffs.
F) None of the above.

G) B) and F)
H) B) and C)

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The nurse is caring for a conscious patient who has symptoms consistent with hypoglycemia.After a serum glucose reading supports this diagnosis,which substance is preferred to initially increase the patient's glucose level?


A) Carbonated cola beverage
B) A teaspoon of white sugar
C) A glass of milk
D) Intravenous glucose

E) All of the above
F) B) and C)

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A deliveryman comes to the emergency department with dog bites on his legs.He states that the dog ran away after the attack and could not be identified.After treatment of the bites,the patient should immediately:


A) notify Animal Control.
B) receive immune globulin for passive immunity.
C) receive the first of five rabies vaccination injections to be continued over the next several weeks.
D) go home and elevate his legs.

E) B) and D)
F) All of the above

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An 80-year-old woman is brought to the emergency department by her daughter,who found the woman unconscious in her garage sitting in her car.A significant assessment of this patient as to cause of her condition would be:


A) temperature, 97.6° F; pulse, 98; and blood pressure, 110/60.
B) O2 saturation of 78%.
C) cherry red mucous membranes.
D) cold extremities.

E) None of the above
F) All of the above

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The nurse explains that the older adult is prone to hypothermia because the older adult: (Select all that apply.)


A) eats less.
B) has more subcutaneous fat.
C) has lower metabolism.
D) has atherosclerosis.
E) is less active.

F) All of the above
G) A) and E)

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A student nurse is assisting with the care of a 50-year-old man who is being treated in the emergency department for hypothermia.The student asks the charge nurse why the patient is having his heart monitored.The nurse's best explanation would be that the heart is being monitored because serious arrhythmias can be caused by:


A) rapidly rising blood pressure from infusing IV fluids.
B) adrenal output of epinephrine in response to cold stress.
C) lactic acid being shunted from pooled blood in the extremities.
D) vasodilation from the warming process.

E) A) and B)
F) B) and C)

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Matching The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it.(Use each option one time only.) -Administration of fluids


A) Cardiogenic shock
B) Hypovolemic shock
C) Anaphylactic shock
D) Neurogenic shock
E) Insulin shock

F) D) and E)
G) B) and C)

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