On Arrival in the Emergency Department,a Patient Who Was in a Motor

question 4

Multiple Choice

On arrival in the emergency department,a patient who was in a motor vehicle accident is apprehensive,confused,and hypotensive.The patient has tachycardia,oliguria,and cool clammy skin.What should the nurse do first?

• A) Cover patient with warm blankets.
• B) Perform a rapid head-to-toe assessment.
• C) Obtain patient's medical history from family.
• D) Reorient the patient to person, place, and time.

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Definitions:

Soapsuds Enema

A rectal procedure using a solution of soap and water introduced into the colon to stimulate bowel movement and relieve constipation.

Indwelling Urinary Catheter

A medical device inserted into the bladder to provide continuous urine drainage in patients who cannot urinate independently.

Sterile

Free from any living microbes, including bacteria, viruses, and fungi, often achieved through sterilization processes in medical settings.

Perineal Care

The practice of cleaning the genitals and anal area to prevent infection and maintain hygiene, especially important for those with incontinence.