Which of the following injuries would take highest priority if demonstrated by the patient entering the emergency department?
A) Open fracture of the femur
B) Laceration of the forearm
C) Stabbing to the chest
D) Traumatic amputation of foot
Ans: C
Feedback: Stabbing to the chest generally results in a sucking chest wound that can result in lung collapse and mediastinal shift, causing death. An obstructed airway or a sucking chest wound takes precedence over control of hemorrhage.
You might also like to view...
A macrosomic infant is born after a difficult, forceps-assisted delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most appropriate action is to
a. Leave the infant in the room with the mother. b. Take the infant immediately to the nursery. c. Perform a gestational age assessment to determine whether the infant is large for gestational age. d. Monitor blood glucose levels frequently and observe closely for signs of hypoglycemia.
The nurse manager frequently interacts with staff and other hospice facility employees
Communication is purposeful because the manager assesses current issues, such as specific satisfactions and dissatisfactions with the newly implemented computerized documentation system. Informally, the manager gathers available staff members to address similar learning needs. Many times, staff members are found coaching other staff about improving use of the new system. According to Senge (1990), the activities demonstrated in this example are: a. Dialogue, team learning. b. Resilience, personal mastery. c. Shared vision, systems thinking. d. Mental models, teachable moments.
A group of nurses is looking to reduce the number of cases of ventilator-associated pneumonia in their hospital. The nurses decide to use the IHI model as their guiding process. Place the following steps in the order in which they should be performed
1. Study the process from start to finish. 2. Develop a goal statement and determine what will be measured during this process. 3. Proceed with ventilator care process using standard hospital protocols. 4. Make changes to the processes as determined by results of the study.
Which nursing diagnosis would be appropriate for a patient with Alzheimer disease?
a. Disorientation related to hyperthermia b. Anxiety (moderate) related to dementia c. Disturbed sensory perception (visual) related to normal aging d. Disturbed thought processes related to irreversible brain disorder