A nurse is caring for a client who is in the emergency department with multiple traumatic injuries following a motor-vehicle crash. Which of the following actions should the nurse take first?

Warm blood products prior to administration.

Establish a patent oral airway.

Create a sterile field for wound care.

Administer IV fluids to maintain blood pressure.

Answer and Explanation

The Correct Answer is B

Choice A reason: Warming blood products prevents hypothermia during transfusion but is not the priority in a trauma patient. Airway management takes precedence, as oxygenation is critical to survival. Administering blood products comes later in the trauma algorithm, after securing the airway and stabilizing breathing, making this action secondary.
Choice B reason: Establishing a patent oral airway is the first priority in trauma care, following the ABCs (Airway, Breathing, Circulation). A clear airway ensures oxygenation, critical for preventing hypoxia in a patient with multiple injuries. Without a patent airway, other interventions are ineffective, as oxygen delivery is essential for survival and organ function.
Choice C reason: Creating a sterile field for wound care is important to prevent infection but is not the first priority in a trauma patient. Airway and breathing take precedence, as immediate life-threatening issues like hypoxia or shock must be addressed before wound care, making this action lower in priority.
Choice D reason: Administering IV fluids to maintain blood pressure is part of the circulation phase in trauma care but follows airway and breathing stabilization. Without a patent airway, fluid administration cannot address hypoxia, a primary cause of mortality in trauma. This action is secondary to ensuring airway patency.

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Correct Answer is A

Explanation

Choice A reason: Suggesting a support group helps the client address emotional resistance to the colostomy through peer support. This fosters psychological adjustment, reduces stigma, and promotes self-management by sharing experiences, aligning with evidence-based strategies to improve coping and adaptation in clients with new ostomies.
Choice B reason: Encouraging avoidance of negative feelings dismisses the client’s emotional response, hindering psychological adaptation. Accepting a colostomy requires processing grief and fear. Suppressing emotions delays coping, as psychological adjustment involves acknowledging feelings to integrate the stoma into the client’s self-image effectively.
Choice C reason: Instructing the partner to assume colostomy care undermines the client’s autonomy and delays self-management. Independence in stoma care is critical for psychological and practical adaptation. Dependency may hinder adjustment, as clients need to develop skills to manage their condition independently.
Choice D reason: Transferring to a rehabilitation facility is premature without trying in-hospital education or support groups. Most clients learn stoma care with nursing guidance. Transfer disrupts care continuity and may increase distress, failing to address emotional resistance directly, unlike peer support interventions.

A. You should contact a family member once a week to keep in touch. B. You need to move to a skilled nursing facility where they can prevent falls. C. You can have an unlicensed assistive person come to your house daily to stay with you. D. Install grab bars and remove loose rugs to reduce your risk of falling.

Correct Answer is D

Explanation

Choice A reason: Contacting a family member weekly does not directly address fall prevention for a senior living alone. While social support is valuable, it does not mitigate physical fall risks like environmental hazards. This response fails to provide practical safety measures, making it inadequate for the client’s concern.
Choice B reason: Suggesting a move to a skilled nursing facility is extreme and dismisses the client’s autonomy to remain at home. Many seniors can live safely with modifications like grab bars or assistive devices. This response does not address immediate fall prevention strategies, making it inappropriate and overly restrictive.
Choice C reason: Having an unlicensed assistive person stay daily is impractical and costly for fall prevention. It does not address environmental hazards, the primary cause of falls. Home modifications and assistive devices are more effective and sustainable, making this response less appropriate than environmental safety measures.
Choice D reason: Installing grab bars and removing loose rugs directly reduces fall risks by improving stability and eliminating tripping hazards. These evidence-based modifications are effective for seniors living alone, enhancing safety without compromising independence. This response addresses the client’s fear with practical, actionable solutions, making it correct.

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A nurse is caring for a client who is in the emergency department with multiple traumatic injuries following a motor-vehicle crash. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a newly created colostomy. The client’s partner tells the nurse that the client refuses to look at the stoma. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a class at a local senior center regarding safety in the home. A client states, “I am afraid of falling because I live alone and have no one to help me.” Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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