Practice Quiz

NCLEX-PN

Category - Physiological Adaptation

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A client comes to the emergency department with a sucking chest wound. Which of the following interventions is the immediate action of the nurse?
  1. Cover the wound with a clean dressing
  2. Prepare oxygen equipment
  3. Prepare artificial airway
  4. Assist the client in semi-Fowler’s position
Explanation
Answer: A - The immediate action of the nurse is to cover the open wound with an occlusive dressing. An open wound allows the entry of atmospheric air, which can result in lung collapse.
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