Author Question: The nurse working in the Emergency Department receives a client who fell out of an apartment window ... (Read 53 times)

itsmyluck · **on:** Jul 22, 2018

The nurse working in the Emergency Department receives a client who fell out of an apartment window onto a post and was transported by Emergency Services with the post still imbedded in the abdomen.

The nurse, waiting for the physician to arrive, would: 1. Remove the post from the abdomen.
2. Gently tap on the post to determine how far it is inserted.
3. Secure the post to make sure it is not disturbed.
4. Obtain a signed permission for treatment.

Question 2

Nursing responsibilities for the LPN/LVN who provides IV therapy include: Standard Text: Select all that apply.

1. Performing within the state nurse practice act.
2. Preparing and educating clients about IV therapy.
3. Assigning UAP to monitor the client.
4. Maintaining droplet precautions for any client with an IV in place.
5. Reporting needle stick injuries to the CDC.

mariahkathleeen · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: The most important intervention is to maintain the post in place until the client is taken to surgery, because removal can result in massive hemorrhage and the client's death. The nurse will secure the post to make sure it doesn't wiggle or move.

Answer to Question 2

1,2
Rationale: The LPN/LVN must know what is legal for her to do, and must always perform duties within the scope of practice.