CRNE Exam Prep

Category - Changes in Health

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A nurse in the emergency room receives a female client with critically lacerated wrists. The initial action of the nurse is to:

Notify the physician
Examine and treat the wound
Administer tetanus toxoid
Instruct the client to perform deep breathing techniques

Explanation

Answer: B - The initial nursing action is to examine the wound and provide appropriate treatment. Administration of any medication, including tetanus toxoid, is not done without a physician’s order. Deep breathing is recommended, but it is not a priority.

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