A Patient Presents to the Emergency Department After Falling from a Ladder

question 8

Multiple Choice

A patient presents to the emergency department after falling from a ladder at home.He has multiple contusions and abrasion on his right side and is holding his right arm tightly across his chest.On inspection,the nurse notes that the patient's trachea is slight displaced toward the left.Which nursing intervention is priority?

• A)Have the patient release his arm and sit up straight for reassessment.
• B)Notify the emergency room physician immediately.
• C)Auscultate the patient's lung fields.
• D)Position the patient flat in bed without a pillow.

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Definitions:

Classical Conditioning

Learning occurs through consistently pairing two stimuli together; a reaction first stimulated by the second stimulus eventually is stimulated by only the first stimulus.

Instinctive Behavior

Actions or reactions that are performed without conscious thought, driven by genetic programming.

Involuntary Behavior

Actions that occur without conscious control, often reflexive or automatic in nature.

Conditioned Stimulus

In classical conditioning, a previously neutral stimulus that, after becoming associated with the unconditioned stimulus, eventually comes to trigger a conditioned response.