A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

Elevating the site to limit the accumulation of fluid in the interstitial spaces

Performing a fasciotomy

Applying a clean dressing to protect the wound

Inserting an indwelling catheter

Splinting the wound in a position of rest to prevent motion

Answer and Explanation

Correct Answer : C,E

A. Elevating the site is incorrect because in crush injuries, elevation can worsen ischemia by reducing arterial perfusion.
B. Performing a fasciotomy is incorrect because this is a surgical procedure that must be performed by a physician when compartment syndrome is diagnosed.
C. Applying a clean dressing to protect the wound is correct as it prevents contamination and infection.
D. Inserting an indwelling catheter is incorrect unless there is concern for shock or fluid balance issues, which are not immediately indicated in the question.
E. Splinting the wound in a position of rest to prevent motion is correct as immobilization reduces pain and prevents further injury.

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Correct Answer is C

Explanation

A. Low levels of both HDL and LDL cholesterol is not desirable as low levels of HDL cholesterol are associated with a higher risk for heart disease.
B. Low levels of high-density lipoprotein (HDL cholesterol) are undesirable because HDL helps remove excess cholesterol from the bloodstream, and lower levels increase the risk of cardiovascular disease.
C. Low levels of low-density lipoprotein (LDL cholesterol) is the most desirable situation. Lower LDL levels reduce the risk of atherosclerosis and heart disease, making it important to lower these levels in patients with coronary artery disease.
D. Hypocholesterolemia (abnormally low cholesterol levels) is not typically targeted as a treatment goal and can be harmful in some situations, as cholesterol is essential for many bodily functions.

A. Overlooking the patient's need to talk about the incident B. Discontinuing any psychotropic medications C. Validating the patient's worth and self-esteem D. Limiting interaction with the patient due to antisocial behaviors exhibited by the suicide attempt

Correct Answer is C

Explanation

A. Overlooking the patient's need to talk is incorrect because ignoring their emotional distress may increase feelings of isolation and hopelessness.
B. Discontinuing psychotropic medications is incorrect as these medications may be essential in stabilizing mood and preventing further self-harm.
C. Validating the patient's worth and self-esteem is correct as it helps promote a sense of value, belonging, and hope, which are crucial in suicide prevention and recovery.
D. Limiting interaction with the patient is incorrect because social isolation can worsen depression and increase the risk of further self-harm.

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A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Patients with coronary artery disease should be taught about cholesterol. Which situation is most desirable?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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