In caring for a client with a head injury, which intervention is most important to prevent secondary injury?

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Chapter 5 Infection Control Review Questions Questions

Question 1 of 5

In caring for a client with a head injury, which intervention is most important to prevent secondary injury?

Correct Answer: B

Rationale: Monitoring intracranial pressure prevents secondary brain injury by identifying and managing factors that increase pressure.

Question 2 of 5

The wounded victim is unable to walk, has respiratory rate of 19 , capillary refill of one second, and is able to obey your commands. The wounded victim is assigned what tag color?

Correct Answer: C

Rationale: The yellow tag is assigned because the victim is unable to walk but has stable vital signs (respiratory rate less than 30, capillary refill less than 2 seconds) and can obey commands, indicating serious but not immediately life-threatening injuries per the START method.

Question 3 of 5

Which of the following statements made by a nurse most reflects a need for additional instruction on areas of client care requiring nursing documentation?

Correct Answer: B

Rationale: Detailed descriptions of procedures are not included in the nursing notes.

Question 4 of 5

Which of the following is a sign of abuse?

Correct Answer: A

Rationale: Unexplained bruises may indicate physical abuse and should be investigated further by healthcare providers.

Question 5 of 5

What happens to the face masks used by IV technicians after they are used?

Correct Answer: C

Rationale: Used face masks are discarded to prevent contamination risks, as they are single-use items.

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