Introduction > Medical Surgical
Exam Review
Introduction
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is teaching a group of community members about the importance of first aid. Which of the following statements by the nurse is appropriate?
Explanation
Choice A Reason: This statement is incorrect because first aid is not a substitute for professional medical care, but a bridge to keep the victim alive and stable until help arrives.
Choice B Reason: This statement is incorrect because first aid is not only for comfort, but also for life-saving interventions in emergency situations.
Choice C Reason: This statement is incorrect because first aid is an essential skill for everyone, not just health professionals, as anyone can encounter an emergency situation.
Choice D Reason: This statement is correct because it summarizes the definition and benefits of first aid as given in the text. First aid is a way to prevent the person's condition from worsening and keep them alive until help arrives. This statement reflects the purpose and scope of first aid as described in the text.
A nurse is assessing a victim who has fallen from a ladder and hit his head. Which of the following actions should the nurse perform as part of the primary assessment? (Select all that apply.)
Explanation
Choice A Reason: This action is correct because checking for responsiveness is the first step in assessing an unconscious or unresponsive victim.
Choice B Reason: This action is correct because calling for help and activating EMS is the second step in assessing an emergency situation.
Choice C Reason: This action is correct because opening the airway is the third step in assessing a victim who is not breathing or has abnormal breathing.
Choice D Reason: This action is incorrect because checking for bleeding is part of the secondary assessment, which involves checking for other injuries or illnesses that are not immediately life-threatening.
Choice E Reason: This action is incorrect because monitoring level of consciousness is part of the ongoing assessment, which involves observing for changes in the victim's condition until help arrives or the victim recovers.
A nurse is providing first aid to a client who has a deep cut on his arm from a kitchen knife. The client says, "I don't want you to touch me or put anything on my wound." How should the nurse respond?
Explanation
Choice A Reason: This response is incorrect because it does not respect the client's right to refuse first aid and may sound threatening or coercive.
Choice B Reason: This response is incorrect because it does not acknowledge the client's concern or consent and may sound dismissive or paternalistic.
Choice C Reason: This response is correct because it respects the client's right to refuse first aid and informs them of the risks of refusing care. It's your right to refuse first aid, but I need to explain the possible consequences of your decision. This response respects the client's autonomy and informs them of the risks of refusing care.
Choice D Reason: This response is incorrect because it does not address the client's concern or consent and may sound arrogant or condescending.
A nurse is performing CPR on a victim who has no pulse and is not breathing. The nurse has an AED available. What should the nurse do next?
Explanation
Choice A Reason: This action is incorrect because stopping CPR can reduce the chances of survival for the victim.
Choice B Reason: This action is correct because continuing CPR and attaching the AED pads to the victim's chest follows the steps for performing CPR and using AED as described in the text. Continue CPR and attach the AED pads to the victim's chest. This action follows the steps for performing CPR and using AED as described in the text.
Choice C Reason: This action is incorrect because giving two rescue breaths can delay the use of the AED, which can be more effective than rescue breaths in restoring a normal heart rhythm.
Choice D Reason: This action is incorrect because checking the victim's pulse can waste time and interrupt CPR, which should continue until the AED is ready.
A nurse is caring for a client who has a second-degree burn on his hand from touching a hot iron. Which of the following interventions should the nurse perform?
Explanation
Choice A Reason: This action is incorrect because applying ice to a burn can cause more damage to the skin and tissues.
Choice B Reason: Cover the burn with a sterile dressing. This intervention protects the burn from infection and further injury, as recommended in the text. This action is correct because covering the burn with a sterile dressing protects it from infection and further injury, as recommended in the text.
Choice C Reason: This action is incorrect because breaking the blisters and applying ointment can increase the risk of infection and delay healing.
Choice D Reason: This action is correct but not specific to a second-degree burn. Elevating an injured part can reduce swelling and pain, but it is not a priority intervention for a burn.
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