Author Question: An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper ... (Read 108 times)

EAugust · **on:** Jul 22, 2018

An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from her purse to provide

an airway. The patient survives and has a permanent problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance? a. The nurse acted appropriately and saved the patient's life.
b. The nurse acted within the guidelines of the Good Samaritan Law.
c. The nurse took actions beyond those that are standard and appropriate.
d. The nurse should have just stayed with the patient and waited for help.

Question 2

The nurse is evaluating the integrity of the ventrogluteal injection site. How does the nurse find the site?

a. By locating the middle third of the lateral thigh
b. By locating the greater trochanter, anterior iliac spine, and iliac crest
c. By locating the anterior aspect of the upper thigh
d. By locating the acromion process

wfdfwc23 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
An obstetric nurse would not have been trained in performing a tracheostomy or a cricotomy, and doing so would be beyond what she has been trained or educated to do. The nurse did not do what another nurse would have done in the same situation. The nurse is not protected by the Good Samaritan Law because she acted outside of her scope of practice and training. The nurse should have acted within what she was trained and educated to do in this circumstance, not just stay with the patient.

Answer to Question 2

B

Feedback
A The vastus lateralis site is found by locating the middle third of the lateral thigh.
B The nurse finds the ventrogluteal site by locating the greater trochanter with the heel of the hand, the anterior iliac spine with the index finger, and the iliac crest with the middle finger.
C The anterior aspect of the thigh may be used for subcutaneous injections; locating it is not how the ventrogluteal site is located.
D The acromion process is used to locate the deltoid site.