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Exam (elaborations)

Pcc exam 2 Questions and Answers

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Pcc exam 2 Questions and Answers An emergency department nurse is preparing to transfer a client to the trauma intensive care unit. Which information is important for the nurse to include in the nurse-to-nurse hand-off report? (select all that apply) mechanism of injury, isolation precautions, di...

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  • October 27, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pcc
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Pcc exam 2 Questions and Answers
An emergency department nurse is preparing to transfer a client to the trauma intensive
care unit. Which information is important for the nurse to include in the nurse-to-nurse
hand-off report? (select all that apply) - answer mechanism of injury, isolation
precautions, diagnostic test results

A patient admitted for abdominal pain and is listed as "urgent" should be seen within
what time frame? - answer 30 min

The nurse is caring for four clients in an emergency department. Which client should be
provided with immediate care based on priority? - answer bronchiolitis

What is the correct order of steps involved in secondary survey? - answer VITALS,
COMFORT MEASURES, PATIENT HISTORY, HEAD TO TOE ASSESSMENT

After assessing a client's reports, the nurse confirms that the client has moderate
hypothermia. What should be the nurse's immediate intervention? Select all that apply. -
answer 02, SUPINE, HEATING BLANKETS

Which nursing actions are appropriate during the primary survey of the emergency
assessment process? Select all that apply. - answer IMMOBILIZE, PREPARE FOR
CHEST TUBE, DIRECT PRESSURE

The body temperature of a heat stroke client is above 104° F (40° C). What is the
priority order the nurse would use for cooling the client so that breathing and circulation
are not impaired? - answer REMOVE CLOTHES, ICE PACKS, COLD WATER, FAN

for leakage of a nonvesicant intravenous (IV) solution into the extravascular tissue. In
what order should the nurse treat the infiltration? - answer STOP INFUSION, APPLY
STERILE DRESSING, ELEVATE EXTRIMITY, COMRESSION, NEW CATH, OBTAIN
STUDY, INS

The nurse is conducting a secondary survey as part of the emergency assessment.
Which is the priority nursing action during the health history portion of the assessment?
- answer Determining drug allergies

Which are the priority nursing actions after the completion of the secondary survey
when providing care for a trauma patient with a penetrating wound? - answer The
priority nursing actions after completion of the secondary survey during the emergency
assessment include documenting all patient care and administering tetanus prophylaxis.

Which treatment should the nurse prepare to administer when providing care to a
toddler who presents after an accidental overdose of aspirin? - answer The nurse

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