The nurse is caring for a client with an open wound on the right thigh that is bleeding profusely. Which of the following actions should the nurse take first?

Cleanse the wound with hydrogen peroxide.

Apply direct pressure over the femoral artery.

Prepare suturing equipment to close the wound.

Use heavy gauze pads to cover the wound.

Answer and Explanation

The Correct Answer is B

A. Cleanse the wound with hydrogen peroxide is incorrect because controlling active bleeding takes priority over wound cleansing. In a profusely bleeding wound, the immediate concern is hemorrhage control, not disinfection.

B. Apply direct pressure over the femoral artery is correct because when bleeding is profuse from a thigh wound, the priority is to control hemorrhage. Applying firm, direct pressure—especially over a major artery such as the femoral artery—helps reduce blood flow to the area and prevent excessive blood loss. According to emergency care principles (ABCs and circulation), controlling life-threatening bleeding is the first action.

C. Prepare suturing equipment to close the wound is incorrect because suturing is performed only after bleeding is controlled. Attempting closure before stabilizing the client could worsen blood loss.

D. Use heavy gauze pads to cover the wound is incorrect as the first action because simply covering the wound without applying firm pressure will not effectively control profuse bleeding. Gauze may be used, but only in conjunction with direct pressure.

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Correct Answer is ["A","B","D","E"]

Explanation

A. ARDS and hypoxemia can lead to multi-organ hypoperfusion, including renal dysfunction. Monitoring BUN and creatininehelps assess for early signs of acute kidney injury, which is important in critically ill patients.

B. The client is restless and anxious, which can worsen oxygen consumption and respiratory distress. Sedatives may be prescribed to reduce anxiety and improve oxygenation, especially if non-invasive measures are insufficient. Sedation must be carefully titrated to avoid respiratory depression.

C.In ARDS, the head of the bed is usually elevated(30–45°) to improve oxygenation, reduce work of breathing, and prevent aspiration. Lowering the bed would increase risk of hypoxemia and aspiration.

D. Oxygen therapy is essential in ARDSto correct hypoxemia. Humidification prevents airway dryness, irritation, and mucus plugging, which are common in patients with shallow, rapid breathing.

E. Frequent auscultation helps the nurse monitor for changes in lung sounds, including worsening crackles, wheezing, or absent breath sounds, which may indicate progression of pulmonary edema or complications.

A. Safety is a priority issue in all settings where trauma care is provided. B. A low risk for contamination with blood and body fluids exists in trauma care. C. Emergency personnel face minimal hazards that might pose a threat to rescuers. D. Scrubs and lab jacket are appropriate attire in environments where care is provided for traumas.

Correct Answer is A

Explanation

A. Scene safety is the first principle in trauma care. Healthcare providers must ensure that the environment is safe for themselves, the patient, and bystandersbefore initiating care. Hazards may include traffic, fire, electrical lines, unstable structures, or exposure to infectious materials. Protecting the responders prevents further injuries and ensures effective patient care.

B. Trauma care often involves high exposure risk to blood and body fluids, making standard precautions and personal protective equipment (PPE) essential. Minimizing risk is important, but it is incorrect to state the risk is low.

C. Emergency responders frequently face multiple hazards, including environmental, chemical, biological, and physical dangers. Assuming minimal hazards can lead to injury or compromised patient care.

D. Scrubs and a lab jacket do not provide adequate protectionin trauma settings. PPE such as gloves, gown, face shield, mask, and sometimes helmets or high-visibility clothingmay be required depending on the scene.

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The nurse is caring for a client with an open wound on the right thigh that is bleeding profusely. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","E"]

Explanation

Which statement describes the concept of scene safety in trauma situations?

Correct Answer is A

Explanation

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