What activities would the nurse implement under the A section of assessment priorities when admitting a trauma patient with a suspected spinal cord injury?
1. Using a manual ventilation bag
2. Applying heated blankets
3. Using the jaw thrust maneuver
4. Assessing for history of asthma
3
Rationale 1: This action would be seen in step B–Breathing.
Rationale 2: This action would be seen in step E–Environment/exposure.
Rationale 3: Airway is covered under the A section. Maintaining an open airway is the first priority. With a fracture or trauma to the neck, respirations may be altered or prevented by bone or tissue misalignment. The jaw thrust maneuver is the correct way to open the airway for a cervical spine injury.
Rationale 4: This action is performed in step H–Head-to-toe assessment/medical history.
You might also like to view...
The nurse makes nutrition a focus in the care plan. Where does nutrition play the most important role?
a. Weight control b. Sustained appetite c. Building strong bones d. Health maintenance
Review the following statements and select the one that would be the guiding principle for a health care provider ordering drug therapy for a premature neonate
a. Metabolic rates are half that of an adult. b. There is increased body water as compared to adults. c. Heart rate and cardiac output are lower than adults. d. There is increased albumin concentration and plasma protein binding as compared to adults.
When a client tells the nurse, "I heard that potassium supplements are effective in treating hypertension," the nurse's most appropriate reply would be as follows:
a. "Increased levels of potassium do not significantly affect blood pressure." b. "Too much potassium can result in a dangerous rise in blood pressure." c. "You can achieve the same benefits from low-sodium, high-potassium foods." d. "You can try them for a while to see if you feel they are effective."
The mother of a high school student newly diagnosed with a condition that will require special health care services is concerned that the student will be required to be home-schooled away from the friends he has developed. Which of the following would be the most appropriate response by the school nurse?
a. "Federal legislation requires that the school make provisions for those with various challenges, so your child will be able to remain in school as long as he is able." b. "I realize that this will be a difficult adjustment, but home-schooling has improved over recent decades and the Internet will allow your child to connect with friends." c. "Whether your child can remain in school will depend on state funding for those with disabilities. You might want to contact your congressman on this issue." d. "Your child may remain in school as long as he can manage the course requirements and doesn't flunk out."