A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

A client who had a renal biopsy 3 hr ago and has pink-tinged urine

A client who has a femur fracture and reports numbness of the toes

A client who has cirrhosis and severe pruritus

A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge

Answer and Explanation

The Correct Answer is B

Numbness of the toes in a client with a femur fracture may indicate neurovascular compromise, which requires immediate attention.

It could be a sign of impaired circulation or nerve damage, and prompt assessment is needed to prevent further complications or permanent damage.

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Correct Answer is ["B","C"]

Explanation

Turn cellular phones to silent mode: In an active shooter situation, it is crucial to maintain silence to avoid drawing attention to your location. Switching cellular phones to silent mode helps ensure that ringtones or notifications do not alert the shooter to your presence.

Wave hands to attract the attention of law enforcement: When law enforcement or emergency personnel arrive at the scene, it is essential to signal to them that you are not a threat and that you require assistance. This can be done by putting hands up, keeping them visible, and following any instructions provided by law enforcement.

Move wounded clients to a safe area before finding shelter: It is important to prioritize the safety of individuals involved in an active shooter situation. However, moving wounded clients should be done only if it can be done quickly and without putting oneself or others at risk. The primary goal is to seek safety and follow established protocols, such as "run, hide, fight" principles, rather than focusing on moving injured individuals during an ongoing threat.

Attempt to bargain with the shooter: Bargaining or negotiating with an active shooter is strongly discouraged. It is important to remember that the primary goal in an active shooter situation is to ensure personal safety and the safety of others. Engaging with the shooter may escalate the situation or put oneself and others at greater risk.

The in-service should focus on providing staff members with practical guidance on how to respond to an active shooter situation, emphasizing the importance of following established protocols, staying calm, and seeking safety. Additionally, the in-service should include training on recognizing and reporting suspicious behavior, as prevention and early intervention can play a crucial role in mitigating such incidents.

A. "Position the bristles of your child's toothbrush against the teeth at a 90-degree angle." B. "Use a 5-inch strip of toothpaste on the toothbrush." C. "Floss between your child's teeth before brushing." D. "Clean the teeth with a small, soft-bristled toothbrush."

Correct Answer is D

Explanation

At this age, a child should have their teeth cleaned twice daily with a soft-bristled toothbrush and water.

A small amount of fluoride toothpaste (about the size of a grain of rice) can be used after age 2.

Flossing is not typically recommended at this age.

The toothbrush should be positioned at a 45-degree angle towards the gum line, and a pea-sized amount of toothpaste should be used.

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A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning an in-service for staff members about active shooter protocols. Which of the following information should the nurse recommend including?

Correct Answer is ["B","C"]

Explanation

A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-month-old toddler. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

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