Question 1

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?

Accepted Answer

The tips of the toes should remain exposed to assess circulation.

Question 2

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?

Accepted Answer

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.

Question 3

When two nurses perform two-person CPR,there should be two slow breaths for every 30 ___________________.

Accepted Answer

The answer of When two nurses perform two-person CPR,there should...

Question 4

A visitor in the hospital slips and falls.The patient's arm appears dislocated and the visitor is unable to move it.What is the first action the nurse should implement?

Accepted Answer

Splinting the arm will help immobilize it and prevent further injury. Applying cold packs or an Ace bandage should be done after the arm is splinted. Checking range of motion may cause further injury and should not be done by the visitor or the nurse unless the healthcare provider has assessed the injury.

Question 5

When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

Accepted Answer

The answer of When treating an infant choking on a...

Question 6

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?

Accepted Answer

Warming the hands in moist towels will warm the hands slowly.Friction of frozen body parts should be avoided.

Question 7

The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C).The patient starts to shiver.What action should the emergency department nurse take?

Accepted Answer

Shivering is a natural response to cooling and can actually increase body temperature by generating heat. When a patient starts to shiver during cooling interventions for heatstroke, it indicates that the body is trying to warm itself up. Therefore, removing cold packs and turning off the fan is appropriate to prevent further shivering and potential rewarming, allowing the body to stabilize at the new, lower temperature.

Question 8

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?

Accepted Answer

Scraping the stinger off with the side of a knife or a similar object is recommended to avoid squeezing more venom into the skin, which can happen if tweezers or squeezing the area is used.

Question 9

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?

Accepted Answer

Erythema and blisters are indicative of a deep partial-thickness burn.

Question 10

The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.

Accepted Answer

The answer of The acronym RICE directs the nurse in...

Question 11

A burn patient is brought into the emergency department with the following burns: half of the front torso,entire left arm,and front of left leg.The nurse should record that the patient has a ______% burn.

Accepted Answer

Half of the front torso = 9,entire left arm = 9,front of the left leg = 9.

Question 12

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?

Accepted Answer

Checking the fingers for capillary refill can indicate the presence of circulation and give the nurse an idea of how severe the edema is. It is important to assess circulation before applying ice or attempting to test range of motion. Vital signs can be taken after circulation has been assessed.

Question 13

If a spinal injury is suspected,before the rescuer starts CPR,the trachea should be opened with a jaw _______ maneuver.

Accepted Answer

The answer of If a spinal injury is suspected,before the...

Question 14

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or $1 ^1 /_{ 2}$ in.

Accepted Answer

The answer of When performing _________ on an infant,the breastbone...

Question 15

The nurse arrives on the scene of a fire.What is the first thing the nurse will do for a burn victim?

Accepted Answer

The first thing the nurse should do for a burn victim is to cool the burn immediately. This helps to prevent further damage to the skin and surrounding tissues. The nurse can use cool running water or a cool, wet compress to accomplish this. Applying dressings or ointments can wait until the burn has been cooled. Covering with a blanket may cause additional heat to build up and exacerbate the burn.

Question 16

A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?

Accepted Answer

Contacting the poison control center is the first action the nurse should take in case of poisoning. The poison control center can provide specific instructions based on the type of poison ingested and provide guidance for appropriate treatment. Giving syrup of ipecac or milk to coat the stomach should not be done without consulting the poison control center first, as it may cause more harm than good. Observing for symptoms is important, but contacting the poison control center should be done first.

Question 17

A patient is admitted to the hospital after receiving a blow to the head.The patient begins to show signs of shock.How should the patient be positioned?

Accepted Answer

If head injuries are suspected,the victim must be kept flat.

Quiz 16: Care of Patients Experiencing Urgent Alterations in Health

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?

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?

When two nurses perform two-person CPR,there should be two slow breaths for every 30 ___________________.

A visitor in the hospital slips and falls.The patient's arm appears dislocated and the visitor is unable to move it.What is the first action the nurse should implement?

When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

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?

The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C) .The patient starts to shiver.What action should the emergency department nurse take?

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?

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?

The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.

A burn patient is brought into the emergency department with the following burns: half of the front torso,entire left arm,and front of left leg.The nurse should record that the patient has a ______% burn.

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?

If a spinal injury is suspected,before the rescuer starts CPR,the trachea should be opened with a jaw _______ maneuver.

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or $1 ^1 /_{ 2}$ in.

The nurse arrives on the scene of a fire.What is the first thing the nurse will do for a burn victim?

A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?

A patient is admitted to the hospital after receiving a blow to the head.The patient begins to show signs of shock.How should the patient be positioned?

Quiz 16: Care of Patients Experiencing Urgent Alterations in Health

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?

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?

When two nurses perform two-person CPR,there should be two slow breaths for every 30 ___________________.

A visitor in the hospital slips and falls.The patient's arm appears dislocated and the visitor is unable to move it.What is the first action the nurse should implement?

When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

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?

The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C) .The patient starts to shiver.What action should the emergency department nurse take?

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?

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?

The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.

A burn patient is brought into the emergency department with the following burns: half of the front torso,entire left arm,and front of left leg.The nurse should record that the patient has a ______% burn.

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?

If a spinal injury is suspected,before the rescuer starts CPR,the trachea should be opened with a jaw _______ maneuver.

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or 11/21 ^1 /_{ 2}11/2​ in.

The nurse arrives on the scene of a fire.What is the first thing the nurse will do for a burn victim?

A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?

A patient is admitted to the hospital after receiving a blow to the head.The patient begins to show signs of shock.How should the patient be positioned?

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or $1 ^1 /_{ 2}$ in.