Nokea
When a patient suddenly experiences respiratory difficulty in the cafeteria the nurse begins assessment for foreign-body airway obstruction. What is the most appropriate question to ask the victim?
- A. What did you swallow?
- B. Are you choking?
- C. Are you OK?
- D. Can I help you?
Correct Answer: B
Rationale: With complete airway obstruction, the victim cannot speak. Ask, 'Are you choking?' With this question the nurse pinpoints the problem and can perform the Heimlich maneuver with no wasted time.
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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.
A nurse assesses an accident victim who has bright red blood spurting from a laceration on his right forearm. Where will the nurse apply pressure after applying direct pressure and elevating the limb?
- A. Right subclavian artery
- B. Right radial artery
- C. Right ulnar artery
- D. Right brachial artery
Correct Answer: D
Rationale: Arterial bleeding is characterized by the spurting of bright red blood and can be controlled by direct pressure, elevation, and indirect pressure on the appropriate pressure point. The brachial artery is the closest pressure point to the injury.
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.
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 farm worker who has been kicked in the stomach by a mule passes a foul black tarry stool. What is this called?
- A. Loose stool
- B. Melena
- C. Hematuria
- D. Hemoptysis
Correct Answer: B
Rationale: When internal bleeding occurs, the patient may demonstrate hemoptysis (bloody sputum), hematemesis (bloody vomit), melena (foul black tarry stool), or hematuria (bloody urine).