The nurse is the first person on the scene of a motor vehicle crash. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?
Use the head tilt chin lift method to maintain the airway
Control any external bleeding
Do not move the victim from the accident
Stabilize the cervical spine until help arrives
The Correct Answer is D
A. The head tilt chin lift method should be avoided due to the risk of aggravating a spinal injury; the jaw-thrust maneuver is safer if airway management is necessary.
B. While controlling bleeding is important, cervical spine stabilization takes priority in trauma with suspected spinal injury.
C. Not moving the victim is appropriate, but stabilizing the cervical spine provides active support to avoid further injury.
D. Stabilizing the cervical spine is crucial to prevent potential spinal cord damage in an unconscious trauma victim, particularly in a motor vehicle accident. This action helps prevent exacerbation of any spinal injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Antibiotics are not typically used unless there is a specific infection; Meniere's is not caused by an infection.
B. Beta blockers are used for various cardiovascular conditions and may help with some vestibular disorders, but they are not the first-line treatment for Meniere's Disease.
C. Diuretics are commonly prescribed for Meniere's Disease to help reduce fluid retention and decrease endolymphatic pressure in the inner ear, which can help alleviate symptoms such as vertigo and hearing loss.
D. Antidepressants are not a primary treatment for Meniere's Disease, although they might be prescribed for anxiety or depression that may accompany the chronic nature of the disease.
Correct Answer is ["3"]
Explanation
To administer the correct dose of clonidine, which is 0.3 mg, the nurse would need to calculate the number of 0.1 mg tablets required. Since each tablet contains 0.1 mg of clonidine, the nurse would need three tablets to make up the total dose of 0.3 mg. Therefore, the nurse should administer three tablets per dose to the patient.
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