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 ["100"]
Explanation
The nurse should set the IV flow rate to deliver 100 gtt/min.
To calculate the flow rate in gtt/min, you can use the formula: (Volume to be infused (mL) x Drop factor (gtt/mL)) ÷ Time (min) = Flow rate (gtt/min).
Plugging in the values from the question: (100 mL x 60 gtt/mL) ÷ 60 min = 100 gtt/min.
Correct Answer is A
Explanation
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
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