A 7-year-old child sustains a deep cut on the arm while playing outside. The wound is bleeding heavily. What is the nurse's initial action?
Applying a tourniquet above the wound
Applying direct pressure and elevating the arm
Cleaning the wound with alcohol
Administering an oral pain reliever
The Correct Answer is B
A. Applying a tourniquet is not the initial action for controlling bleeding. Direct pressure and elevation are more appropriate.
B. Applying direct pressure and elevating the arm above the level of the heart help control bleeding from the wound.
C. Cleaning the wound with alcohol can wait until after bleeding is controlled. Direct pressure and elevation are the immediate priorities.
D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Offering oral rehydration solution (ORS) may not be effective for severe dehydration in an infant who is unable to drink or tolerate oral fluids.
B. Administering intravenous fluids is the priority intervention for a severely dehydrated infant to restore fluid balance and prevent complications.
C. Monitoring vital signs is important but does not address the immediate need for fluid replacement in severe dehydration.
D. Obtaining a urine sample is not the priority; intravenous fluids should be initiated promptly in a severely dehydrated infant.
Correct Answer is B
Explanation
A. Administering an antipyretic without further evaluation is not appropriate for a suspected case of bacterial meningitis.
B. Performing a lumbar puncture to analyze cerebrospinal fluid and starting antibiotics is the standard intervention for suspected bacterial meningitis.
C. Administering an antihistamine is not the appropriate intervention for bacterial meningitis, which is a bacterial infection of the meninges.
D. Ordering a head CT scan is not the first-line diagnostic test for suspected bacterial meningitis. A lumbar puncture is the diagnostic procedure of choice.
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