CRNE Exam Prep

Category - Changes in Health

A nurse in the emergency room receives a female client with critically lacerated wrists. The initial action of the nurse is to:
  1. Notify the physician
  2. Examine and treat the wound
  3. Administer tetanus toxoid
  4. 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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