Nokea
A nurse assesses an accident victim who has bright red blood spurting from a laceration on his right forearm. Where will the nurse apply pressure after applying direct pressure and elevating the limb?
- A. Right subclavian artery
- B. Right radial artery
- C. Right ulnar artery
- D. Right brachial artery
Correct Answer: D
Rationale: Arterial bleeding is characterized by the spurting of bright red blood and can be controlled by direct pressure, elevation, and indirect pressure on the appropriate pressure point. The brachial artery is the closest pressure point to the injury.
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A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. What will be the rescuer's priority action?
- A. Assessing blood loss
- B. Assessing respiratory status
- C. Obtaining vital signs
- D. Organizing laypeople at the scene
Correct Answer: B
Rationale: Priority intervention is to assess respiratory status.
The acronym RICE directs the nurse in the care of a sprain. The "C" in the acronym stands for __.
Correct Answer: compression
Rationale: The acronym stands for Rest, Ice, Compression, and Elevation.
The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be?
- A. Remove the knife.
- B. Apply an airtight dressing over the wound.
- C. Place the patient in a modified Trendelenburg's position.
- D. Immobilize the knife with dressings and tape.
Correct Answer: D
Rationale: When the patient's lower chest has been punctured with the weapon still in place, the nurse should immobilize the weapon with dressings and tape.
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.
A patient who had taken a poisonous substance is brought to the emergency department. What is the first action the nurse should take?
- A. Give syrup of ipecac.
- B. Contact the poison control center.
- C. Give milk to coat the stomach.
- D. Observe for symptoms.
Correct Answer: B
Rationale: The nurse should immediately call the poison control center.