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NurseDive Free Nursing Practice Question
A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.
Which of the following actions should the nurse take first?
A. Apply a tourniquet just above the wound.
Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
B. Place the client in a modified Trendelenburg position.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
C. Apply pressure directly to the wound.
This is the first step in controlling bleeding and preventing hematoma formation 1. Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.
D. Settle the client in a reclining position.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Pharmacology Endocrine and Hematology Proctored Exam. Take the full exam now
Full Explanation
This is the first step in controlling bleeding and preventing hematoma formation 1.
Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.
Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.
Similar Questions
A nurse is preparing to administer levothyroxine 100mcg po to a client who has hypothyroidism.
Available levothyroxine is 50 mcg tablets.
How many tablets should the nurse administer? (Round off to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
A. 1 tablet.
Choice A is not the best answer because administering 1 tablet of levothyroxine 50 mcg would only give the client a total dose of 50 mcg, which is not enough.
B. 2 tablets.
The nurse should administer 2 tablets of levothyroxine 50 mcg to give the client a total dose of 100 mcg.
C. 3 tablets.
Choice C is not the best answer because administering 3 tablets of levothyroxine 50 mcg would give the client a total dose of 150 mcg, which is too much.
D. 4 tablets.
Choice D is not the best answer because administering 4 tablets of levothyroxine 50 mcg would give the client a total dose of 200 mcg, which is too much.
Full Explanation
The nurse should administer 2 tablets of levothyroxine 50 mcg to give the client a total dose of 100 mcg.
Choice A is not the best answer because administering 1 tablet of levothyroxine 50 mcg would only give the client a total dose of 50 mcg, which is not enough.
Choice C is not the best answer because administering 3 tablets of levothyroxine 50 mcg would give the client a total dose of 150 mcg, which is too much.
Choice D is not the best answer because administering 4 tablets of levothyroxine 50 mcg would give the client a total dose of 200 mcg, which is too much.
Which of the following statements indicates that the client understands the effects of warfarin (coumadin)?
A. "I'll use my electric razor for shaving.".
A nurse should never share her password for access to the facility’s computer system with anyone. Sharing passwords can compromise the security and confidentiality of patient information. For the second question you asked, the correct answer is choice A. “I’ll use my electric razor for shaving.” This statement indicates that the client understands that warfarin (coumadin) can increase the risk of bleeding and that using an electric razor can help reduce the risk of cuts and bleeding while shaving.
B. "I'll take aspirin for my headaches.".
Choice B is not the best answer because taking aspirin while on warfarin (coumadin) can increase the risk of bleeding.
C. "I'll be sure to eat foods with lots of vitamin K.".
Choice C is not the best answer because eating foods high in vitamin K can interfere with the effectiveness of warfarin (Coumadin).
D. "It's okay to have a couple of glasses of wine with dinner.".
Choice D is not the best answer because drinking alcohol while on warfarin (coumadin) can increase the risk of bleeding.
Full Explanation
A nurse should never share her password for access to the facility’s computer system with anyone.
Sharing passwords can compromise the security and confidentiality of patient information.
For the second question you asked, the correct answer is choice A.
“I’ll use my electric razor for shaving.” This statement indicates that the client understands that warfarin (coumadin) can increase the risk of bleeding and that using an electric razor can help reduce the risk of cuts and bleeding while shaving.
Choice B is not the best answer because taking aspirin while on warfarin (coumadin) can increase the risk of bleeding.
Choice C is not the best answer because eating foods high in vitamin K can interfere with the effectiveness of warfarin (Coumadin).
Choice D is not the best answer because drinking alcohol while on warfarin (coumadin) can increase the risk of bleeding.
A nurse is preparing to administer amoxicillin 250 mg PO.
Available is amoxicillin oral suspension 125 mg/5 mL.
How many mL should the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies.
Do not use a trailing zero.).
A. 2 mL.
Choice A is not the best answer because administering 2 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 50 mg, which is not enough.
B. 5 mL.
Choice B is not the best answer because administering 5 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 125 mg, which is not enough.
C. 8 mL.
Choice C is not the best answer because administering 8 mL of amoxicillin oral suspension 125 mg/5 mL would give the client a total dose of 200 mg, which is not enough.
D. 10 mL.
The nurse should administer 10 mL of amoxicillin oral suspension 125 mg/5 mL to give the client a total dose of 250 mg.
Full Explanation
The nurse should administer 10 mL of amoxicillin oral suspension 125 mg/5 mL to give the client a total dose of 250 mg.
Choice A is not the best answer because administering 2 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 50 mg, which is not enough.
Choice B is not the best answer because administering 5 mL of amoxicillin oral suspension 125 mg/5 mL would only give the client a total dose of 125 mg, which is not enough.
Choice C is not the best answer because administering 8 mL of amoxicillin oral suspension 125 mg/5 mL would give the client a total dose of 200 mg, which is not enough.