Nokea
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.
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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.
When treating an infant choking on a foreign body the nurse should use a combination of __ and chest thrusts.
Correct Answer: blows
Rationale: If the nurse is assisting a child who has aspirated a foreign body, the nurse may treat the child in a manner similar to the adult with performance of abdominal thrusts. However, there is a potential for injury if the nurse uses this maneuver in the infant. The nurse should use a combination of back blows and chest thrusts with an infant.
The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim?
- A. Apply dressings.
- B. Cover with a blanket.
- C. Cool the burn immediately.
- D. Apply topical ointment.
Correct Answer: C
Rationale: The burn should be cooled immediately to stop the burning process.
The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective initial treatment of this bleeding?
- A. Elevate the head.
- B. Apply direct pressure.
- C. Apply an ice pack.
- D. Apply indirect pressure.
Correct Answer: B
Rationale: The most effective general treatment of bleeding is to apply direct pressure.
A patient is admitted to the hospital after receiving a blow to the head. The patient begins to show signs of shock. How should the patient be positioned?
- A. With the head lower than the body
- B. Flat with the legs elevated
- C. Flat on the back
- D. In a side-lying position
Correct Answer: C
Rationale: If head injuries are suspected, the victim must be kept flat.