The nurse is caring for a patient who has sustained eye trauma as a result of a motor vehicle crash (MVC). Which intervention should the nurse provide regarding a foreign body?

Remove all foreign objects

Stabilize object and lightly protect with covering

Provide a light meal with clear liquids

Instruct the patient vigorously blow their nose if necessary

Answer and Explanation

The Correct Answer is B

A. Removing objects is contraindicated, as it can worsen the injury.

B. Stabilizing the object and covering it prevents further injury until medical evaluation, which is critical in cases of eye trauma. Moving or removing a foreign body could lead to additional damage.

C. Providing a light meal is not directly related to managing eye trauma and does not address the immediate concern.

D. Blowing the nose could increase intraocular pressure, potentially worsening the injury.

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Correct Answer is A

Explanation

A. Kaposi's Sarcoma is a cancer commonly associated with AIDS, characterized by purple or brown lesions on the skin and mucous membranes. It is linked to human herpesvirus-8 (HHV-8) and is often seen in immunocompromised individuals.

B. Candidiasis stomatitis involves oral or esophageal thrush, presenting as white patches rather than purple or brown lesions.

C. Cryptosporidiosis is a parasitic infection causing severe diarrhea but does not manifest as skin lesions.

D. Meningitis can cause neurological symptoms and systemic infection but does not present with purple or brown skin spots.

A. Use the head tilt chin lift method to maintain the airway B. Control any external bleeding C. Do not move the victim from the accident D. Stabilize the cervical spine until help arrives

Correct Answer is D

Explanation

A. The head tilt chin lift method should be avoided due to the risk of aggravating a spinal injury; the jaw-thrust maneuver is safer if airway management is necessary.

B. While controlling bleeding is important, cervical spine stabilization takes priority in trauma with suspected spinal injury.

C. Not moving the victim is appropriate, but stabilizing the cervical spine provides active support to avoid further injury.

D. Stabilizing the cervical spine is crucial to prevent potential spinal cord damage in an unconscious trauma victim, particularly in a motor vehicle accident. This action helps prevent exacerbation of any spinal injury.

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ABG Value	Normal Range
pH	7.35- 7.45
PaCO2	35-45 mm Hg
HCO3	22-25 mEq/L
Base excess	-2 to +2
PaO2	80-95 mm Hg
SaO2	>95%

The nurse is caring for a patient who has sustained eye trauma as a result of a motor vehicle crash (MVC). Which intervention should the nurse provide regarding a foreign body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?

Correct Answer is A

Explanation

The nurse is the first person on the scene of a motor vehicle crash. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?

Correct Answer is D

Explanation

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