Chapter 11 Nursing Management
Chapter 69: Nursing Management: Emergency, Terrorism, and Disaster Nursing
Test Bank
MULTIPLE CHOICE
1. During the primary assessment of a victim of a motor vehicle collision, the nurse determines
that the patient is breathing and has an unobstructed airway. Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient’s respiratory effort.
c. Check the patient’s level of consciousness.
d. Examine the patient for any external bleeding.
ANS: B
Even with a patent airway, patients can have other problems that compromise ventilation, so the next action is to assess the patient’s breathing. The other actions are also part of the initial survey but assessment of breathing should be done immediately …show more content…
The other actions may be appropriate, but this will depend on what is learned when assessing family preferences.
DIF: Cognitive Level: Apply (application)
REF:
1679
OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
USTESTBANK.COM
22. A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the
urgent care center. Which action will the nurse plan to take?
a. Prepare to administer rabies immune globulin (BayRab).
b. Assist the health care provider with suturing of the bite wounds.
c. Teach the patient the reason for the use of prophylactic antibiotics.
d. Keep the wounds dry until the health care provider can assess them.
ANS: C
Because human bites of the hand frequently become infected, prophylactic antibiotics are usually prescribed to prevent infection. To minimize infection, deep bite wounds on the extremities are left open. Rabies immune globulin might be used after an animal bite. Initial treatment of bite wounds includes copious irrigation to help clean out contaminants and microorganisms. DIF: Cognitive Level: Apply (application)
Test Bank
MULTIPLE CHOICE
1. During the primary assessment of a victim of a motor vehicle collision, the nurse determines
that the patient is breathing and has an unobstructed airway. Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient’s respiratory effort.
c. Check the patient’s level of consciousness.
d. Examine the patient for any external bleeding.
ANS: B
Even with a patent airway, patients can have other problems that compromise ventilation, so the next action is to assess the patient’s breathing. The other actions are also part of the initial survey but assessment of breathing should be done immediately …show more content…
The other actions may be appropriate, but this will depend on what is learned when assessing family preferences.
DIF: Cognitive Level: Apply (application)
REF:
1679
OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
USTESTBANK.COM
22. A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the
urgent care center. Which action will the nurse plan to take?
a. Prepare to administer rabies immune globulin (BayRab).
b. Assist the health care provider with suturing of the bite wounds.
c. Teach the patient the reason for the use of prophylactic antibiotics.
d. Keep the wounds dry until the health care provider can assess them.
ANS: C
Because human bites of the hand frequently become infected, prophylactic antibiotics are usually prescribed to prevent infection. To minimize infection, deep bite wounds on the extremities are left open. Rabies immune globulin might be used after an animal bite. Initial treatment of bite wounds includes copious irrigation to help clean out contaminants and microorganisms. DIF: Cognitive Level: Apply (application)