Nokea
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
- A. Check the blood count.
- B. Apply pressure to the site.
- C. Document the bleeding.
- D. Monitor the bleeding.
Correct Answer: B
Rationale: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.
You may also like to solve these questions
Which of the following indicates a hazard for a client on oxygen therapy?
- A. A No Smoking sign is on the door.
- B. The client is wearing a synthetic gown.
- C. Electrical equipment is grounded.
- D. Matches are removed.
Correct Answer: B
Rationale: A synthetic gown might generate sparks of static electricity, which can be a fire hazard, particularly in the presence of oxygen. The client on oxygen therapy should wear a cotton gown. The remaining options are appropriate safety measures.
A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?
- A. 36%
- B. 27%
- C. 18%
- D. 9%
Correct Answer: C
Rationale: Each lower extremity is scored as 18% according to the Rule of Nines, which estimates burn severity.
A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
- A. Prep the patient with pain medication.
- B. Notify the patient's family about the procedure via the telephone.
- C. Decrease the temperature of the blood to be given.
- D. Increase the temperature of the blood to be given.
Correct Answer: D
Rationale: Warming the blood will reduce the risk of additional cardiac arrhythmia.
Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
- A. I cannot eat or drink after midnight.'
- B. I cannot eat for 12 hours before the test.'
- C. I need to limit my fluid intake.'
- D. I need to ingest a lipid solution.'
Correct Answer: B
Rationale: Fasting for 12 hours is required for a lipoprotein fractionation test to ensure accurate lipid levels. Water is allowed, and no lipid solution is ingested.
When a client has a chest drainage system in place, where should the system be placed?
- A. above the client's head
- B. at the client's shoulders
- C. at the level of the chest
- D. below the level of the chest
Correct Answer: D
Rationale: A chest drainage system should be placed below the level of the client's chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest.