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.
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When assessing a patient who has suffered a burn injury the nurse classifies the burn as a deep partial-thickness burn. What is this observation most likely based upon?
- A. Painful reddened skin
- B. Charred skin with milky-white areas
- C. Erythema and blisters
- D. Erythema pain and swelling
Correct Answer: C
Rationale: With deep partial-thickness burns, blister formation may be seen with erythema.
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.
The worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have. What will the nurse reply?
- A. 8 pints
- B. 10 pints
- C. 12 pints
- D. 14 pints
Correct Answer: C
Rationale: An average adult male has 12 pints of blood.
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.
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