A client is brought to the emergency department after being shot in the abdomen and is hemorrhaging heavily. Which action by the nurse is the priority?
a. Draw blood for type and crossmatch.
b. Start two large IVs for fluid resuscitation.
c. Obtain vital signs and assess skin perfu-sion.
d. Assess and maintain a patent airway.
D
All options are important nursing actions in the care of a trauma client. However, airway always comes first. The client must have a patent airway, or other interventions will not be helpful.
You might also like to view...
A nurse says, "At last I feel like I am beginning to harvest some of the benefits of my career. I love sharing what I have learned with the new generation of nurses
" Someone hearing this statement would interpret it to mean the nurse has likely practiced for at least ______ years. Standard Text: Fill in the blank(s) with correct word
Which client is most likely to have the least stress adjusting to her role as mother?
a. A 16-year-old teenager who lives with parents and has a strained relationship with her mother b. A 26-year-old woman who is returning to work in 10 weeks c. A 35-year-old anxious mother who has had no contact with babies or children d. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth
The screening tool used to evaluate life activities as a function of overall well-being and an indicator of areas needing intervention for a child is the:
a. NGAGED (Now, Growth, and Development, Activities of Daily Living, General Health, Environment, and Documentation). b. Stress Scale for Children. c. Functional Activities Questionnaire. d. Washington Guide to Promoting Development in the Young Child.
A patient on ritonavir tells a nurse, "I've been diluting my medication in chocolate milk to improve the taste." Select the nurse's best response
1. "This is an acceptable practice." 2. "The milk will prevent absorption." 3. "This action could cause your blood glucose to drop." 4. "The drug should never be diluted."