When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?
Wound infection
Bacteremia
Aspiration pneumonia
Urinary tract infection
Urinary tract infection
The Correct Answer is C
A. Wound infection: While important to address, a wound infection does not directly impact airway, breathing, or circulation unless it leads to severe complications.
B. Bacteremia: This condition is serious and can lead to sepsis, which affects circulation, but immediate airway and breathing issues take precedence.
C. Aspiration pneumonia: This directly affects breathing by causing respiratory complications, making it a priority when considering airway and breathing issues.
D. Urinary tract infection: Although it requires treatment, it does not immediately impact airway, breathing, or circulation like aspiration pneumonia can.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Increase consumption of dairy products: While dairy products can be part of a balanced diet, increasing consumption without consideration of fat content or sodium is not specifically a preventive strategy for hypertension.
B. Choose foods like bananas and sweet potatoes: Foods rich in potassium, such as bananas and sweet potatoes, can help manage blood pressure by balancing sodium levels.
C. Consume two to three glasses of red wine daily: Excessive alcohol consumption can raise blood pressure, so this is not a recommended strategy for hypertension prevention.
D. Use a low sodium seasoning to flavor food: Reducing sodium intake is crucial in managing and preventing hypertension, so using low sodium seasonings is a beneficial strategy.
E. Walk briskly 30 minutes per day: Regular physical activity, such as brisk walking, is an effective way to help manage and prevent hypertension.
Correct Answer is C
Explanation
A. Gallops: Gallops are additional heart sounds heard with a stethoscope that are not related to the carotid artery.
B. Murmurs: Murmurs are abnormal heart sounds related to the heart valves and are typically heard over the precordium rather than the carotid artery.
C. Bruits: Bruits are abnormal, high-pitched swooshing sounds caused by turbulent blood flow in an artery, often indicative of arterial narrowing or blockages.
D. Normal findings: High-pitched swooshing sounds over the carotid artery are not normal and typically warrant further investigation for potential vascular issues.
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