Nokea
A farm worker who has been kicked in the stomach by a mule passes a foul black tarry stool. What is this called?
- A. Loose stool
- B. Melena
- C. Hematuria
- D. Hemoptysis
Correct Answer: B
Rationale: When internal bleeding occurs, the patient may demonstrate hemoptysis (bloody sputum), hematemesis (bloody vomit), melena (foul black tarry stool), or hematuria (bloody urine).
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The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock. What can the nurse anticipate?
- A. Slow labored breathing
- B. Hot flushed skin
- C. Edematous extremities
- D. Weak thready pulse
Correct Answer: D
Rationale: The pulse becomes weak and thready with hypovolemic shock.
When assessing the adult victim for pulselessness the CPR rescuer should palpate the most reliable and accessible pulse. Which pulse will be palpated?
- A. Radial
- B. Brachial
- C. Carotid
- D. Femoral
Correct Answer: C
Rationale: When assessing the adult victim for pulselessness, the most reliable and accessible pulse is the carotid.
The nurse is teaching a patient with epistaxis about the best way to control bleeding. What information will the nurse relay to this patient?
- A. Place ice on the nose and pinch the nostrils.
- B. Maintain a flat position.
- C. Pack nostrils with cotton.
- D. Lean backward.
Correct Answer: A
Rationale: Apply steady pressure to both nostrils while applying ice to the nose is the best way to attempt to control the bleeding of epistaxis.
When other methods have failed to stop the bleeding and the victim's life is in danger the rescuer at the scene applies a tourniquet to a young woman's leg above the knee. What is another step that is essential for the rescuer to follow?
- A. Never release the tourniquet.
- B. Wrap the tourniquet around the limb twice.
- C. Mark the patient with a "T."
- D. Leave the limb elevated.
Correct Answer: A
Rationale: A tourniquet must never be released once it is in place. All other options are enhancements to the procedure of the tourniquet application, but not essential.
A machinist visits the industrial nurse's clinic with a deep laceration of the thigh. What should be the nurse's first action?
- A. Splint the thigh and apply tape to approximate the edges.
- B. Apply ice and a pressure dressing to the thigh.
- C. Give a tetanus booster injection.
- D. Wash the laceration with an antiseptic.
Correct Answer: D
Rationale: Lacerations should be cleaned thoroughly and bandaged to approximate the edges.