Nokea
The patient is brought to the emergency department after having fractured an arm 12 hours ago. The arm is very edematous from the fingers to the elbow and the patient cannot move it. What should be the initial action of the nurse?
- A. Test range of motion.
- B. Take the vital signs.
- C. Place ice packs on the arm.
- D. Check fingers for capillary refill.
Correct Answer: D
Rationale: Swelling from the fracture can impede circulation.
You may also like to solve these questions
While on break in the hospital cafeteria a nurse witnesses her pregnant coworker start to choke. The coworker is conscious but unable to breathe. Where should the nurse administer thrusts?
- A. Below the navel
- B. The chest
- C. At the xiphoid process
- D. The upper back
Correct Answer: B
Rationale: If the victim is pregnant or obese, chest thrusts are acceptable instead of abdominal thrusts. To provide chest thrusts, the nurse should place his or her hands in the same position that is used for chest compressions during CPR.
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.
The patient is admitted to the emergency department having suffered frostbite to the hands which are grayish-white in color. What action should the nurse implement when attempting to warm the hands?
- A. Have the patient rub the hands together briskly.
- B. Wipe the hands vigorously with a warm towel.
- C. Run tepid water over the hands to warm slowly.
- D. Wrap the hands in hot moist towels.
Correct Answer: D
Rationale: Warming the hands in moist towels will warm the hands slowly. Friction of frozen body parts should be avoided.
CPR has been initiated at an accident site. When can CPR be terminated?
- A. Victim is clinically dead.
- B. Victim is brain dead.
- C. Paramedics arrive.
- D. Rescuer perceives CPR is futile.
Correct Answer: C
Rationale: There is a moral obligation to continue CPR once it has been initiated unless the rescuer is exhausted and cannot continue, trained medical personnel take over CPR, or a licensed health care provider pronounces the victim dead.
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.