with correct answers
The nurse provides discharge instructions for a patient who experienced a traumatic
amputation of the leg below the knee. Which patient statement indicates a need for additional
teaching?
A. "I will elevate my leg with a pillow."
B. "I will take all of the prescribed antibiotics."
C. "I will continue to eat foods high in protein and carbohydrates."
D. "I will apply ice to the area for no more than 15 to 20 min at a time." - ANS ✔✔Answer: A
Reasoning:
A. The patient should be taught to refrain from using a pillow under the remaining portion of
the lower extremity, as this prevents the development of flexion contractures that can occur if a
pillow is left under the extremity. Therefore, this patient statement indicates a need for
additional teaching.
B. Antibiotics that are prescribed for infection should be completed. This patient statement
indicates a correct understanding of the information presented.
C. Sufficient dietary intake of proteins and carbohydrates allows for adequate healing of bone,
muscle, and skin. Therefore, this patient statement indicates a correct understanding of the
information presented.
D. The application of ice promotes vasoconstriction and decreases painful edema. Therefore,
this patient statement indicates a correct understanding of the information presented.
, What would the nurse working in the emergency department identify as clinical priorities for
the treatment of a patient with a gunshot wound? Select all that apply.
A. Airway maintenance
B. Obtaining medical history
C. Ventilation assistance
D. Hemorrhage control
E. Hypothermia prevention - ANS ✔✔Answers: A, C, D, E
Reasoning:
A. This is correct. Clinical priorities for the treatment of gunshot wound are the following:
maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia.
Also necessary is a rapid, recurrent assessment of the patient's neurological status, as well as
prevention of infection. (Same reasoning for C, D, and E)
B. This is incorrect. While obtaining the patient's medical history is important, this action would
not be priority and would take place after the priority assessment and treatment. Once the
safety of the patient is assured, then the nurse will manage the patient's emotional state and
obtain the medical history.
The nurse is conducting a primary survey during an emergency assessment. Which is the
priority nursing action related to breathing in response to this assessment?
A. Having suction available
B. Assessing pupil size and reactivity
C. Immobilizing any obvious deformities
D. Obtaining blood samples for type and crossmatch - ANS ✔✔Answer: A
Reasoning: