A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.
Which of the following actions should the nurse take first?
Apply a tourniquet just above the wound.
Place the client in a modified Trendelenburg position.
Apply pressure directly to the wound.
Settle the client in a reclining position.
The Correct Answer is C
This is the first step in controlling bleeding and preventing hematoma formation 1.
Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.
Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should administer 10 mL of amoxicillin oral suspension 125 mg/5 mL to give the client a total dose of 250 mg.
Choice A is not the best answer because administering 2 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 50 mg, which is not enough.
Choice B is not the best answer because administering 5 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 125 mg, which is not enough.
Choice C is not the best answer because administering 8 mL of amoxicillin oral suspension 125 mg/5 mL would give the client a total dose of 200 mg, which is not enough.
Correct Answer is C
Explanation
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1.
The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
Choice B is not correct because constipation is not a common side effect of theophylline.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.
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