A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements Indicates an understanding of the teaching?
"I should apply clean dressings over the top of blood saturated dressings and hold pressure."
"I can clean wounds with hydrogen peroxide."
"I can carefully remove the object from a penetrating wound."
"I should place the affected area in a dependent position."
The Correct Answer is A
A. "I should apply clean dressings over the top of blood-saturated dressings and hold pressure.” This prevents disruption of clot formation and controls bleeding.
B. "I can clean wounds with hydrogen peroxide.” Hydrogen peroxide can damage healthy tissue and delay healing.
C. "I can carefully remove the object from a penetrating wound.” Objects should be left in place until medical professionals remove them.
D. "I should place the affected area in a dependent position.” Elevating an injured limb helps reduce swelling and bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Place the client on their side with their head forward. This position helps maintain an open airway, prevents aspiration, and allows secretions to drain. It is the priority intervention during an active seizure.
B. Administer an anticonvulsant medication. Medications like benzodiazepines (e.g., lorazepam) are used to stop prolonged seizures but are not the immediate priority over airway protection.
C. Time the length of the client's seizure. While monitoring seizure duration is important, ensuring airway protection and safety comes first.
D. Loosen the client's gown and allow them to move freely. While restrictive clothing should be loosened, allowing unrestricted movement could lead to self-injury.
Correct Answer is ["A","B","C","D"]
Explanation
When analyzing cues, the nurse should identify HCTZ, QD, QOD .1 mg, and >180mg systolic as error-prone abbreviations. Medications names, such as hydrochlorothiazide, should be spelled out. QD should be written as daily and QOD should be written as every other day. Decimal points should be written using a leading zero and greater than and less than should be written out rather than using symbols.
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