A) location of the injury and whether it is open or closed. B) the severity of the client - s condition and the priority decision. C) the number of available rescuers and the type of splints. D) all of the above.
2. Hazards of improper splinting include:
A) aggravation of a bone or joint injury. B) reduced distal circulation. C) delay in transport of a client with a lifethreatening injury. D) all of the above.
3. In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
A) blood urea nitrogen B) serum calcium C) serum ammonia D) serum creatinine
4. A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
A) measure intake and output. B) check albumin level. C) monitor glucose levels. D) increase enteral feeding.
5. A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
A) simplify medication administration. B) measure accurate input and output. C) prevent accumulation of fluids and gas. D) facilitate collection of specimens.
1. Right Answer: B Explanation: The method of splinting is always dictated by the severity of the clients condition and the priority decision. Basic Care and Comfort
2. Right Answer: D Explanation: Hazards of improper splinting include aggravation of a bone or joint injury, reduced distal circulation, and delay in transport of a client with a life-threatening injury.Basic Care and Comfort
3. Right Answer: C Explanation: When a client is in a hepatic coma, he is in live liver failure. The liver can no longer metabolize amino acids completely, thus ammonia levels increase causing brain-tissue irritation. Basic Care and Comfort
4. Right Answer: A Explanation: It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance. Basic Care and Comfort
5. Right Answer: C Explanation: Immediately postop abdominal surgery, the NG tube keeps the stomach decompressed to prevent surgical-site disruption and fluid loss through vomiting. BasicCare and Comfort
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