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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.
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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.
If a spinal injury is suspected before the rescuer starts CPR the trachea should be opened with a __ maneuver.
Correct Answer: thrust
Rationale: The jaw-thrust maneuver does not hyperextend the neck.
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.
The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage?
- A. Use sterile material.
- B. Leave the toes exposed.
- C. Bandage the extremity tightly.
- D. Bend the knee after bandaging.
Correct Answer: B
Rationale: The tips of the toes should remain exposed to assess circulation.
A patient arrives in the emergency department with a sucking wound to the left chest. What is the first action the nurse should take?
- A. Place several layers of gauze dressing over the wound.
- B. Place the patient in a supine position.
- C. Cover the wound with an airtight dressing taped on three sides.
- D. Turn the patient to the left side.
Correct Answer: C
Rationale: Sucking chest wounds should be dressed with a flutter dressing so that air can escape the pleural space, but no more air can be sucked in.