The nurse comes upon the scene of a multiple motor vehicle crash and decides to stop and help because there are no emergency personnel present. The first priority for the nurse is to:
1. Ensure that victims are removed from their cars.
2. Quickly check all victims and perform CPR on the most injured.
3. Assess the scene for safety to prevent more harm.
4. Begin treating clients trapped in their cars.
Answer: 3
1. Trauma victims are not moved, because of the risk of spinal injury, unless a greater threat exists, such as the car is on fire.
2. The second priority of care is to triage the clients so that the medical personnel can be directed to the most gravely injured clients when they arrive.
3. In any emergency situation, the priority of the nurse is to assess the safety of the site to prevent injury to those administering care.
4. Once triage has been completed, the nurse can begin to give first aid to those who need it most.
You might also like to view...
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse. Which theoretical principle best explains the etiology of this client's depressive symptoms?
1. According to psychoanalytic theory, depression is a result of negative perceptions. 2. According to object-loss theory, depression is a result of overprotection. 3. According to learning theory, depression is a result of repeated failures. 4. According to cognitive theory, depression is a result of anger turned inward.
The nurse is planning care for the patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis noncompliance with treatment regimen related to side effects of medications?
a. Patient will state two lifestyle modifications for weight management by (date certain). b. Patient will be compliant with treatment regimen by (date certain). c. Patient will understand the disease process by (date certain). d. Patient's blood pressure will never increase.
A nurse is developing a health promotion care plan for an otherwise healthy man who is married with four children and has a career as a public school teacher. Which of the following environmental factors could have a major effect on the patient's health p
a. Developmental b. Spiritual c. None of the above d. Both a and b
A person has hypothyroidism. What chemical does the healthcare professional advise the person to include in the diet?
a. Iron b. Iodine c. Zinc d. Magnesium