A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Administer pain medication to alleviate discomfort.

Assist the client to a comfortable position in bed.

Apply direct pressure to the bleeding site.

Obtain a detailed health history from the client.

Answer and Explanation

The Correct Answer is C

A) Incorrect. While pain management is essential, it is not the priority when dealing with active bleeding that requires immediate intervention.

B) Incorrect. Positioning the client comfortably is important, but it is not the priority when there is active bleeding.

C) Correct. The priority intervention is to apply direct pressure to the bleeding site to control and reduce bleeding until further assessment and medical assistance can be obtained.

D) Incorrect. Obtaining a detailed health history is valuable for understanding the client's overall health, but it is not the priority when the client is actively bleeding and requires immediate intervention.

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Correct Answer is C

Explanation

A) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cell count and hemoglobin levels, it does not directly confirm the presence of bleeding or assess the clotting function.

B) Incorrect. Magnetic Resonance Imaging (MRI) is a valuable tool for diagnosing various conditions but is not a primary test for confirming the presence of bleeding.

C) Correct. A coagulation panel, which includes prothrombin time (PT) and activated partial thromboplastin time (PTT), helps assess the clotting function and can aid in confirming the presence of bleeding and identifying coagulation disorders.

D) Incorrect. Fecal Occult Blood Test (FOBT) is used to detect hidden blood in stool, which is indicative of lower gastrointestinal bleeding, but it does not confirm internal bleeding in other areas of the body.

A. Encourage the client to ambulate frequently. B. Administer prophylactic antibiotics as prescribed. C. Apply pressure dressings to potential bleeding sites. D. Monitor the client's blood glucose levels.

Correct Answer is C

Explanation

A) Incorrect. While ambulation is important for overall health, it is not the priority action to prevent bleeding complications.

B) Incorrect. Prophylactic antibiotics may be prescribed for specific medical conditions but are not the primary intervention to prevent hemorrhage.

C) Correct. Applying pressure dressings to potential bleeding sites is the priority action to prevent or control bleeding. It helps promote hemostasis and reduces the risk of excessive bleeding.

D) Incorrect. Monitoring blood glucose levels is important for clients with diabetes but is not directly related to preventing hemorrhage.

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A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with suspected internal bleeding. Which diagnostic test should the nurse anticipate as a priority to confirm the presence of bleeding?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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