Introduction
Introduction ( 5 Questions)
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.)
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.
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.
