Author Question: Which procedure should the nurse follow for assessing an ill or injured person in an emergency? ... (Read 37 times)

kfurse · **on:** Jul 17, 2018

Which procedure should the nurse follow for assessing an ill or injured person in an emergency?

A) ABCDE procedure
B) PERRLA+C procedure
C) AVPU procedure
D) BCLS procedure

Question 2

The nurse is reviewing with the client about the number of guaiac tests that must be completed to determine a positive or negative result.

Based on this information, what instruction should the nurse provide the client on the number of separate guaiac specimens that are collected before a determination of positive or negative finding is made? A) Two separate specimens on 2 consecutive days
B) Two separate specimens on 2 separate days
C) Three separate specimens on 3 consecutive days
D) Three separate specimens on 3 separate days

jesse.fleming · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
Whenever assessing a person in an emergency, use the acronym ABCDE to help you remember the order for assessment: A = Airway and cervical spine; B = Breathing; C = Circulation and bleeding; D = Disability; E = Expose and examine. When assessing a client's eye at an emergency site, the nurse should follow PERRLA+CPE = Pupils Equal; R = Round; RL = React to Light; A = Accommodation OK; C = Coordinated. The acronym AVPU is followed while conducting a neurologic assessment at an accident scene. BCLS includes rapid entry into the emergency medical system, performance of CPR, and use of techniques to clear an obstructed airway.

Answer to Question 2

D
Feedback:
Usually, three separate specimens are collected on three separate days, not consecutive days, before a determination of positive or negative finding is made.