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Exhibits

Review H and P and nurse's note.

Which are the first four actions that the practical nurse (PN) should do?

A.

Take the child's pulse

B.

Place a cervical collar on the client

C.

Call child protective services

D.

Start a peripheral IV line

E.

Look for any open wounds

F.

Determine if the child's airway is clear

Answer and Explanation

The Correct Answer is A, F, E

A. Take the child's pulse

Assessing the pulse is crucial to determine if the child has a heartbeat and to evaluate the effectiveness of CPR. This helps to determine the current cardiovascular status of the child and the urgency of further resuscitation efforts.

F. Determine if the child's airway is clear

Ensuring a clear airway is a priority in any emergency situation. A blocked airway can prevent effective ventilation and oxygenation, which is critical for a child who has experienced a near-drowning incident.

D. Start a peripheral IV line

Starting a peripheral IV line is important for administering fluids and medications that may be necessary for resuscitation and stabilization. It allows for rapid access to the child's circulatory system for necessary interventions.

E. Look for any open wounds

Checking for open wounds is necessary to identify any immediate sources of bleeding or potential infections that need to be addressed. It is part of a thorough initial assessment to ensure comprehensive care for the child.


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Related Questions

Correct Answer is ["0.6"]

Explanation

  • Medication dose: 30 mg enoxaparin
  • Medication concentration: 30 mg per 0.3 mL (prefilled syringe)
  • Frequency: Every 12 hours
  • Duration: 10 days

Calculation:

  1. Injections per day: Since the medication is given every 12 hours, the client will receive injections 2 times per day (24 hours / 12 hours/injection).
  2. Total medication per day: To find the total amount of enoxaparin needed per day, multiply the single injection dose by the number of injections:

Total enoxaparin/day = Dose per injection x Number of injections/day = 30 mg/injection x 2 injections/day = 60 mg/day

  1. Volume of medication per day: Now, we need to find the volume of solution needed to deliver the total daily dose (60 mg) based on the medication concentration (30 mg/0.3 mL). We can achieve this with a proportion:

Volume (mL) / Total dose (mg) = Concentration (mg/mL)

Volume (mL) = (Total dose (mg) x Concentration (mL/mg)) / Concentration (mg/mL)

Plugging in the values:

Volume (mL) = (60 mg x 0.3 mL/mg) / 30 mg/mL

Volume (mL) = 18 mL / 30 mL/mL

Simplifying:

Volume (mL) = 0.6 mL

Therefore, the practical nurse (PN) should administer 0.6 mL of enoxaparin each day.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"D"}

Explanation

  1. Dark Room Lighting
    Consistent with Elder Mistreatment: A dark, uninviting environment can indicate neglect or lack of proper care. It may reflect poor living conditions or neglect of the client's environment, which can be a sign of mistreatment.
  2. Malnutrition
    Consistent with Elder Mistreatment: The client’s low weight (98 lb) relative to her height (5 ft 4 in) suggests potential malnutrition. Malnutrition can be a sign of neglect, as the client might not be receiving adequate food or nutrition, which is a form of mistreatment.
  3. Pressure Injuries
    Consistent with Elder Mistreatment: Although the pressure injuries have closed, the presence of Stage II pressure ulcers in the past indicates a lack of proper care and attention to the client’s needs. Pressure ulcers are a common sign of neglect in care settings.

Not Consistent with Elder Mistreatment

  • Poor Hygiene
    Not Consistent: The client appears clean and healthy with no issues in skin condition or oral hygiene, so this is not a sign of mistreatment.
  • Bilateral Leg Edema
    Not Consistent: While edema might be a concern in heart failure management, it is not specifically indicative of elder mistreatment.
  • Short Term Memory Loss
    Not Consistent: Short-term memory loss is not necessarily a sign of mistreatment; it could be related to aging or medical conditions.

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