The Nurse Is Caring for a Patient Admitted to the ED

question 32

Multiple Choice

The nurse is caring for a patient admitted to the ED following a fall from a 10-foot ladder.Upon admission,the nurse assesses the patient to be awake,alert,and moving all four extremities.The nurse also notes bruising behind the left ear and straw-colored drainage from the left nare.What is the most appropriate nursing action?

• A) Insert bilateral ear plugs.
• B) Monitor airway patency.
• C) Maintain neutral head position.
• D) Apply a small nasal drip pad.

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Definitions:

Selection Process

The method by which individuals or items are chosen from a group based on certain criteria.

Clothing

Items worn on the body, typically made from fabric, used for protection, modesty, or fashion.

Grooming

The process of cleaning and maintaining one's body appearance or the act of preparing someone for a specific role or activity.

Maturity Level

A measure of an individual's emotional and intellectual development, often influencing their ability to handle responsibilities and challenges.