Question

99. A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first?

A. Administer IV therapy.

B. Insert a large-bore IV catheter.

C. Monitor urine output.

D. Obtain a blood specimen for type and crossmatch

100. A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?

A. "What do you understand about your condition?

B. "Can you count backwards from 100 in intervals of 7?"

C. "What is meant by the saying. Don't beat around the bush?

D. "Can you tell me the state where you were born?"

97. A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?

A. Administer diazepam intravenously to the client.

B. Provide the client oxygen at 6 L/min using a nasal cannula.

C. Administer phenytoin IV bolus to the client.

D. Turn the client to the lateral position during seizure activity.

Answer 1

Ans 99 - option B - Insert a large bore IV CANNULA.

Explanation - Patient is suffering from HYPOVOLEMIC SHOCK so now patient will need IV fluids urgently .

So first step to PUT IV LINE so that we get an access to give fluids

Ans 97 - option c - to give IV PHENYTOIN bolus is a treatment of choice for status epileptics.

Ans 100 - option d - to ask where she was born

EXPLANATION - To ask about the previous events helps us to make diagnosis of dementia as dementia is characterized by not remembering past memories