Nokea
A patient has been stung by a bee and is brought to the emergency department. The nurse observes the sting site and identifies that the stinger is still in the skin. What action should the nurse take?
- A. Remove it with sterile tweezers.
- B. Soak the area with a cold compress.
- C. Scrape the stinger with the side of a knife.
- D. Squeeze the surrounding tissue to expel the stinger.
Correct Answer: C
Rationale: The stinger should be removed with the side of a knife by scraping to avoid forcing more venom into the skin.
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The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54 P 102 RR 22. What does the nurse recognize that these symptoms indicate?
- A. Inadequate perfusion
- B. Circulatory shock
- C. Massive vasodilation
- D. Heart failure
Correct Answer: B
Rationale: Shock results from failure of the circulatory system to provide sufficient blood circulation.
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.
When two nurses perform two-person CPR there should be two slow breaths for every 30 __.
Correct Answer: compressions
Rationale: Two slow breaths are given after every 30 compressions.
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.
The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?
- A. If cardiopulmonary arrest has existed for no more 2 minutes
- B. If cardiopulmonary arrest has existed for no more 3 minutes
- C. If cardiopulmonary arrest has existed for no more 4 minutes
- D. If cardiopulmonary arrest has existed for no more 5 minutes
Correct Answer: C
Rationale: CPR can reverse clinical death if initiated before 4 minutes.