During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next?
Examine the patient for any external bleeding.
Check the patient's level of consciousness.
Palpate extremities for bilateral pulses.
Observe the patient's respiratory effort
The Correct Answer is D
A. While external bleeding is important to assess and manage, it is not the next immediate action after confirming an unobstructed airway.
B. Checking the patient's level of consciousness should be done after assessing the respiratory effort.
C. Palpating extremities for bilateral pulses is part of assessing circulation, which typically follows the assessment of consciousness.
D. After ensuring the patient has an unobstructed airway, the next step in the primary assessment is to observe the patient's respiratory effort. This is crucial as it provides immediate information about the adequacy of the patient's breathing and the need for supplemental oxygen or other interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5"]
Explanation
To calculate the infusion time for a 1-L bag of 0.9% sodium chloride at a rate of 200 mL/hr, you would divide the total volume of the IV bag by the hourly infusion rate. Since there are 1000 mL in a 1-L bag, you would calculate 1000 mL divided by 200 mL/hr, which equals 5 hours.
Correct Answer is ["0.5"]
Explanation
To calculate the correct dose of digoxin, the nurse needs to convert the prescribed micrograms (mcg) to milligrams (mg) as the medication available is measured in mg. One milligram (mg) is equal to 1000 micrograms (mcg). Therefore, 125 mcg is equal to 0.125 mg. Since the available medication is 0.25 mg per tablet, the nurse would administer half a tablet to achieve the 0.125 mg dose.
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