The nurse has arrived on the scene of an accident. The victim is conscious and has a large bleeding laceration on his thigh. The nurse uses an available towel to provide compression to the wound. What action should the nurse perform next?
a. Turn the patient to his left side.
b. Elevate the patient's affected leg.
c. Bend the affected leg at the knee.
d. Use the patient's belt as a tourniquet.
D
After holding direct pressure on the bleeding area, a tourniquet may be implemented. The nurse should immobilize the leg and avoid position changes that could exacerbate bleeding. Elevation of an injured extremity is no longer recommended.
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According to Piaget, a 6-month-old infant should be in which developmental stage?
a. Use of reflexes b. Primary circular reactions c. Secondary circular reactions d. Coordination of secondary schemata
Postsurgical teaching for a client who has just undergone a modified mastectomy would include which of the following?
a. Wear purse straps over the affected arm. b. Minor injuries on the affected side are to be expected. c. Slight swelling or bruising of the affected limb is normal in the first month. d. Vaccinations and blood draws should be done on the unaffected side only.
The parent of a teen diagnosed with schizophrenia asks, "Why does schizophrenia usually appear in adolescence?" The nurse's reply would be based on which premise?
a. Stimulation of neurotransmitters is unstable. b. Neuronal system complexity stabilizes. c. Dendrite branching becomes complete in adolescence. d. Amino acid production increases.
A patient has been diagnosed with cellulitis from an insect bite on the hand
In addition to taking the prescribed antibiotic, the nurse would recommend which treatments? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Get plenty of rest with the hand elevated on a pillow. 2. Soak the hand in cool Burrow's solution. 3. Report any pain in the hand. 4. Wrap the hand and arm in warm towels. 5. Protect the blisters from rupture if possible.