The nurse has arrived on the scene of an accident. The victim is conscious and has a large bleeding laceration on his thigh. After the nurse uses an available towel to provide compression to the wound, what action should be performed next?
a. The nurse should turn the patient to his left side.
b. The nurse should elevate the patient's af-fected leg.
c. The nurse should bend the affected leg at the knee.
d. The nurse should encourage the patient to perform leg pump exercises.
B
Once the bleeding has stopped, a compression dressing and bulky bandage are applied and left in place to prevent disturbing clots gently. Elevating and immobilizing the injured part will help to control bleeding.
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How should the nurse respond to a family immediately after a patient dies?
a. Ask the family to leave the patient's room so postmortem care can be performed. b. Leave tubes and IV lines in place until the family has the opportunity to view the body. c. Express sympathy to the family (e.g., "I am sorry for your loss"). d. Tell the family that they will have limited time with their loved one.
The nurse explains the difference between exertional angina and unstable angina is that unstable angina occurs:
a. on heavy exertion. b. when the blood pressure increases sharply. c. when the body reacts to high stress levels. d. unpredictably, even in sleep.
The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take?
a. Administer the vaccine as ordered. b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure. c. Hold the vaccine and notify the provider of the patient's history. d. Request an order for a Varivax booster instead of the Zostavax.
A patient is not certain whether she and her family should participate in a genetic screening plan
She asks the nurse why the X-linked recessive disorder that has been noted in some of her family members is expressed in males more frequently than in females. What is the nurse's best response? a. "The disease tends to show up in males because they do not have a second X chromosome to balance the expression of the gene." b. "One X chromosome of a pair is always inactive in females. This inactivity effectively negates the effects of the gene." c. "Females are known to have more effective DNA repair mechanisms than males, thus negating the damage caused by the recessive gene." d. "Expression of genes from the male's Y chromosome does not occur in females, so they are essentially immune to the effects of the gene."