A client arrives in the emergency department after being in a car ...

[NguyenJ]

A client arrives in the emergency department after being in a car crash with fatalities. The client has a nearly amputated leg that is bleeding profusely. What action by the nurse takes priority?
 
  a. Apply direct pressure to the bleeding.
  b. Ensure the client has a patent airway.
  c. Obtain consent for emergency surgery.
  d. Start two large-bore IV catheters.

Question 2

A nurse caring for a client notes the following assessments: white blood cell count 3800/mm3, blood glucose level 198 mg/dL, and temperature 96.2  F (35.6  C). What action by the nurse takes priority?
 
  a. Document the findings in the client's chart.
  b. Give the client warmed blankets for comfort.
  c. Notify the health care provider immediately.
  d. Prepare to administer insulin per sliding scale.

[blakcmamba]

Answer to Question 1

ANS: B
Airway is the priority, followed by breathing and circulation (IVs and direct pressure). Obtaining consent is done by the physician.

Answer to Question 2

ANS: C
This client has several indicators of sepsis with systemic inflammatory response. The nurse should notify the health care provider immediately. Documentation needs to be thorough but does not take priority. The client may appreciate warm blankets, but comfort measures do not take priority. The client may or may not need insulin.

[NguyenJ]

TYSM

[bulacsom]

Excellent