A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech.
Which of the following actions should the nurse take?
Call emergency medical services.
Find a location for the client to sit.
Drive the client to the nearest emergency room.
Obtain the number of the client's provider.
The Correct Answer is A
The nurse should call emergency medical services if they find a woman who has collapsed with right-sided weakness and slurred speech. These symptoms could indicate a stroke or other serious medical condition that requires immediate medical attention.
Finding a location for the client to sit, driving the client to the nearest emergency room, and obtaining the number of the client's provider are not appropriate initial actions for the nurse to take in this situation. The priority is to get the client immediate medical attention by calling emergency medical services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to test the drainage for glucose. Clear drainage from the nose following a basal skull fracture could indicate a cerebrospinal fluid (CSF) leak. CSF contains glucose, so testing the drainage for glucose can help determine if it is CSF.
b. Taking the client's temperature is not the first action the nurse should take.
c. Notifying the charge nurse is important but not the first action the nurse should take.
d. Placing a dressing under the client's nose is not the first action the nurse should take.
Correct Answer is C
Explanation
The nurse should anticipate that the provider will initially prescribe acetaminophen to the client who has a new diagnosis of osteoarthritis. Acetaminophen (Tylenol, others) has been shown to help some people with osteoarthritis who have mild to moderate pain². It is often used as a first-line treatment for osteoarthritis pain.
a. Hyaluronic acid is not typically the first medication prescribed for osteoarthritis.
b. Ibuprofen may be prescribed for osteoarthritis but is not typically the first medication prescribed.
d. Celecoxib may be prescribed for osteoarthritis but is not typically the first medication prescribed.
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