A patient is developing shock . Which action should the nurse take ?
- Elevate the victim’s head.
- Elevate the victim’s legs and feet.
- Elevate the victim’s upper body .
- Leave the victim in a flat position .
2
The nurse finds a client in a burning car . The client is breathing with fractured arm and lacerations that are bleeding profusely . What action should the nurse take first?
- Splint the fractured arm.
- Get the client out of the car.
- Give mouth-to-mouth resuscitation.
- Stop the bleeding .
2
A neighbor tells the nurse that her 12-year-old child has been burned with scalding waterThe arm is red and starting to blister. In addition to advising her to see a health care provider , what will the nurse tell the neighbor to apply to the burn?
- Hydrogen peroxide
- Petroleum jelly
- Cool compresses
4.Salt water compresses
3
The nurse comes across a one-car automobile accident. The driver of the car is walking around with a dazed look on his face. He states that he was wearing his seatbelt but is unsure of what happened exactly. He has no visible injury . In checking his vital signs, the nurse finds his blood pressure is 84/56 mm Hg his pulse is 110 beats per minute , and his respirations are 32 per minute . Another bystander says that an ambulance is on the way. What is the nurse’s initial action?
- Complete a neurologic assessment.
- Instruct him to get back in the car and rest
- Position him on his back on the ground with legs and feet elevated
- Assess for any wounds that may be contributing to his memory loss
3
The nurse is told in report that one of the patients has been very depressed lately . On checking the unit , the nurse finds the patient in the bathroom with one wrist bleeding profusely . The patient states that he broke a glass and used it to cut his wrist in a suicide attempt What should the nurse do after sending someone to call for help ?
- Attempt to find out what has been causing her depression .
- Apply a tourniquet above the injury
- Use 4- 4-inch gauze pads to apply direct pressure .
- Thoroughly wash the wound .
3
A neighbor tells the nurse that her 5-year- old son has ingested one of her liquid cleaning supplies. The child is in no distress at this time. The mother shows the nurse the bottle; the nurse is unfamiliar with the ingredients. Which action by the nurse is appropriate?
- Give syrup of ipecac to induce vomiting.
- Give milk to neutralize any acids.
- Give water to dilute the poison .
- Call the poison control center .
4
. The nurse comes upon a victim who is unconscious . Place in order the interventions that the nurse should take.
- Administer 30 chest compressions .
- Give 2 mouth -to-mouth breaths
- Check the carotid pulse .
- Activate the EMS
- Open the airway
5,4,3,1,2
The nurse is in the park and witnesses a child getting stung by a wasp. What action should the nurse implement first ?
- Cleanse the site with soap and water
- Remove the stinger with a scraping motion.
- Apply ice to the stung area.
- Determine whether the child has an allergy to wasps
2
The nurse is assessing an adult patient who has been brought to the hospital with third-degree burns covering his head, right arm, and right leg. The nurse demonstrates accurate assessment skills by determining what to be the extent of the patient’s burns ?
- 27%
- 36%
- 45%
- 54%
1
A man suffers heat exhaustion while mowing the grass. The man’s wife demonstrates knowledge of proper care of her husband with which action? ( Select all that apply .)
- The wife calls 911 immediately.
- The wife encourages her husband to sit in a tub of cold water .
- The wife gives her husband cold water and a sports drink.
- The wife carefully monitors her husband while he finishes mowing .
- The wife loosens her husband’s clothing.
1,3,5
The nurse is educating a group of hikers about how to treat frostbite . Which statement by one of the hikers indicates the need for further teaching?
- should place the frozen body part in hot water, around 110 to 114°F (43.3 ° to 45.6C).”
- can wrap a frozen body part in a warm moist towel.
- should avoid vigorously rubbing the frozen body part. “
- “After the frozen part is warmed , I should wrap it in clean material and elevate it.” the The
3
A patient comes to a sports medicine clinic after twisting his ankle while playing soccer. The health care provider determines he has a sprain. What discharge instructions will the nurse include in discharge summary for the patient? ( Select all that apply.)
- “Apply ice to the sprained area for 1 hour, then off for 1 hour”
- Wrap your ankle with an ACE bandage each morning.”
- “Elevate your leg as much as possible to prevent further swelling .”
- “Exercise your ankle as soon as you get home to prevent stiffness “
- “You will use warm compresses to increase blood flow to the area after removing the ice.”
2,3,5
The patient suffered a fracture of the tibia after crashing his motorcycle . He tells the nurse that his health care provider told him he shattered his tibia in three places and will need surgery. The nurse is aware that the patient has which type of fracture?
- Greenstick fracture
- Spiral fracture
- Comminuted fracture
- Compound fracture
3
. Several high school teachers completed a CPR class. Which comment by one of the teachers demonstrates knowledge of proper CPR? (Select all that apply)
- “The chest compression rate should be at least 100 per minute .
- “A jaw -thrust maneuver should be used on all patients when I open the airway
- “The proper sequence for CPR is circulation airway , and breathing “
- should look, listen, and feel for breathing for no more than 10 seconds .”
- The adult chest should be compressed at least 2 inches during compressions .
1,3,5
When the nurse is caring for a person who has developed a nosebleed , which nursing action is appropriate ?
- Apply steady pressure to the bridge of the nose for 5 minutes
- Remind the victim to try to breathe through the nose
- Avoid using ice over the nose.
- Keep the victim’s head tilted slightly forward
1
Add online question 1-10
chapter 16
A nurse in a provider’s office is preparing to assess a young adult client’s musculoskeletal system as part of a comprehensive physical examination . Which of the following findings should the nurse expect? (Select all that apply .)
A. Concave thoracic spine posteriorly
B. Exaggerated lumbar curvature
C. Concave lumbar spine posteriorly
D. Exaggerated thoracic curvature
E. Muscles slightly larger on the dominant side
Ati-book ch 31
c,e
A nurse, who is assessing a client’s neurologic system , should ask the client to close their eyes and identify which of the following items ?
A. A word the nurse whispers 30 cm from the ear
B. A number the nurse traces on the palm of the hand
C. The vibration of a tuning fork the nurse places on the foot
D. A familiar object the nurse places in the hand
Ati-book ch 31
D
A nurse is caring for a client who reports pain with internal rotation of the right shoulder . This discomfort can affect the client’s ability to perform which of the following activities ?
A. Exercising the deltoid muscle when using hand weights
B. Brushing the hair on the back of the head
C. Fastening or zipping closures on the back while dressing
D. Reaching into a cabinet above the sink
Ati-book ch 31
C
A nurse is performing a neurologic examination for a client. Which of the following assessments should the nurse perform to test the client’s balance? (Select all that apply.)
A. Romberg test
B. Heel-to- toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
Ati-book ch 31
a,b
A nurse is collecting data from an older adult client as part of a neurologic examination . Which of the following findings should the nurse expect as changes associated with aging ? ( Select all that apply .)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short- term memory decline
E. Decreased risk of depression
Ati-book ch 31
A,B,C,D
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