Which statement describes the concept of scene safety in trauma situations?
Safety is a priority issue in all settings where trauma care is provided.
A low risk for contamination with blood and body fluids exists in trauma care.
Emergency personnel face minimal hazards that might pose a threat to rescuers.
Scrubs and lab jacket are appropriate attire in environments where care is provided for traumas.
The Correct Answer is A
A. Scene safety is the first principle in trauma care. Healthcare providers must ensure that the environment is safe for themselves, the patient, and bystanders before 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 protection in trauma settings. PPE such as gloves, gown, face shield, mask, and sometimes helmets or high-visibility clothing may be required depending on the scene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client’s swollen, red, painful foot, hypotension (90/60), and vomitingare classic signs of a venomous snakebite, which can cause systemic toxicity, hypotension, coagulopathy, and tissue necrosis. Snakebite is a life-threatening emergencythat requires immediate assessment, stabilization, and possible administration of antivenom, making it the priority condition.
B. Heat exhaustionpresents with weakness, nausea, headache, and mild hypotension, but the localized swelling and redness in the leg are not consistent with heat exhaustion.
C. Altitude sicknesstypically develops at higher elevations and manifests as headache, nausea, dizziness, and fatigue, not a localized extremity injury with hypotension.
D. Brown recluse spider bitescan cause localized pain, redness, and necrosis, but systemic symptoms such as hypotension and vomitingare less common, making snakebite the higher-priority assessment.
Correct Answer is D
Explanation
A. Enoxaparin is a low molecular weight heparin (LMWH)and should never be given intramuscularlybecause IM injections increase the risk of hematoma formation. It is administered subcutaneously.
B. Vitamin K is the antidote for warfarin, not enoxaparin. For LMWH, protamine sulfateis used to reverse anticoagulation if needed.
C.Routine monitoring of aPTT is not required with LMWHlike enoxaparin because it has a predictable anticoagulant effect. Monitoring is typically reserved for special populations, such as renal impairment or obesity.
D. Enoxaparin carries a risk of heparin-induced thrombocytopenia (HIT), a potentially life-threatening complication. Platelet counts should be monitored regularly, especially during the first 2 weeks of therapy, to detect early thrombocytopeniaand prevent complications.
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