Pcc exam 2 Questions and Answers

Pcc exam 2 Questions and Answers An emergency department nurse is preparing to transfer a client to the trauma intensive care unit. Which information is important for the nurse to include in the nurse-to-nurse hand-off report? (select all that apply) mechanism of injury, isolation precautions, diagnostic test results A patient admitted for abdominal pain and is listed as "urgent" should be seen within what time frame? 30 min Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:01 / 0:15 Full screen Brainpower Read More The nurse is caring for four clients in an emergency department. Which client should be provided with immediate care based on priority? bronchiolitis What is the correct order of steps involved in secondary survey? VITALS, COMFORT MEASURES, PATIENT HISTORY, HEAD TO TOE ASSESSMENT After assessing a client's reports, the nurse confirms that the client has moderate hypothermia. What should be the nurse's immediate intervention? Select all that apply. 02, SUPINE, HEATING BLANKETS Which nursing actions are appropriate during the primary survey of the emergency assessment process? Select all that apply. IMMOBILIZE, PREPARE FOR CHEST TUBE, DIRECT PRESSURE The body temperature of a heat stroke client is above 104° F (40° C). What is the priority order the nurse would use for cooling the client so that breathing and circulation are not impaired? REMOVE CLOTHES, ICE PACKS, COLD WATER, FAN for leakage of a nonvesicant intravenous (IV) solution into the extravascular tissue. In what order should the nurse treat the infiltration? STOP INFUSION, APPLY STERILE DRESSING, ELEVATE EXTRIMITY, COMRESSION, NEW CATH, OBTAIN STUDY, INS The nurse is conducting a secondary survey as part of the emergency assessment. Which is the priority nursing action during the health history portion of the assessment? Determining drug allergies Which are the priority nursing actions after the completion of the secondary survey when providing care for a trauma patient with a penetrating wound? The priority nursing actions after completion of the secondary survey during the emergency assessment include documenting all patient care and administering tetanus prophylaxis. Which treatment should the nurse prepare to administer when providing care to a toddler who presents after an accidental overdose of aspirin? The nurse would prepare to administer activated charcoal to the client and repeat every four hours, if needed, for a client with active bowel sounds. Which assessment data related to the patient's airway would indicate the need for priority intervention by the nurse?1) Eupnea2) Tachycardia3) Hypotension4) Agonal breaths Agonal breaths The nurse is providing care to a trauma patient. What is the correct order of steps the nurse will implement when providing care to this patient? Feedback: The first step the nurse takes when providing care to a trauma patient is to clear the airway. The second step is to protect the cervical spine. The third step is to provide supplemental oxygen. The fourth step is to perform chest compressions. Feedback: The first step the nurse takes when providing care to a trauma patient is to clear the airway. The second step is to protect the cervical spine. The third step is to provide supplemental oxygen. The fourth step is to perform chest compressions. potassium iodide ATN after kidney transplant interventions hemodialysis, biopsy, immunosuppress Cyclosporine causes hypertension Which patient would the nurse describe as fitting the typical demographic of a trauma patient? 15-24 years, male, using alcohol A patient has an open pneumothorax. Which nursing actions are indicated? Select all that apply Place an occlusive dressing over the wound. Leave the bottom of the dressing untaped. A client has been scheduled for an endoscopic retrograde cholangiopancreatography (ERCP) examination. The nurse reviewing the client's home medication list would be most concerned about which drug? oral hypoglycemic A client had sclerotherapy to treat esophageal varices. The nurse should monitor this patient for which postprocedure complications? Select all that apply. Esophageal perforation Infection Rebleeding Aspiration pneumonia