Author Question: An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging ... (Read 67 times)

karateprodigy · **on:** Jun 25, 2018

An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging heavily. Which action should the nurse take first?

a. Send a blood sample for a type and crossmatch.
b. Insert a large intravenous line for fluid resuscitation.
c. Obtain the heart rate and blood pressure.
d. Assess and maintain a patent airway.

Question 2

A nurse cares for a client who is recovering from a hemorrhoidectomy. The client states, I need to have a bowel movement. Which action should the nurse take?

a. Obtain a bedside commode for the client to use.
b. Stay with the client while providing privacy.
c. Make sure the call light is in reach to signal completion.
d. Gather supplies to collect a stool sample for the laboratory.

anyusername12131 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
All of the options are important nursing actions in the care of a trauma client. However, airway always comes first. The client must have a patent airway, or other interventions will not be helpful.

Answer to Question 2

ANS: B
The first bowel movement after hemorrhoidectomy can be painful enough to induce syncope. The nurse should stay with the client. The nurse should instruct clients who are discharged the same day to have someone nearby when they have their first postoperative bowel movement. Making sure the call light is within reach is an important nursing action too, but it does not take priority over client safety. Obtaining a bedside commode and taking a stool sample are not needed in this situation.