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.
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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.
When other methods have failed to stop the bleeding and the victim's life is in danger the rescuer at the scene applies a tourniquet to a young woman's leg above the knee. What is another step that is essential for the rescuer to follow?
- A. Never release the tourniquet.
- B. Wrap the tourniquet around the limb twice.
- C. Mark the patient with a "T."
- D. Leave the limb elevated.
Correct Answer: A
Rationale: A tourniquet must never be released once it is in place. All other options are enhancements to the procedure of the tourniquet application, but not essential.
When administering first aid in emergency situations the nurse must first survey victims for severity of injuries. What term correctly describes this process?
- A. The Good Samaritan law
- B. An emergency interview
- C. Triage
- D. Taking vital signs
Correct Answer: C
Rationale: This process of patient classification is called triage.
The acronym RICE directs the nurse in the care of a sprain. The "C" in the acronym stands for __.
Correct Answer: compression
Rationale: The acronym stands for Rest, Ice, Compression, and Elevation.
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.
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