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The nurse admits a client who has fallen from a ladder to the Emergency Department with a deep wound ...

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7 years ago

The nurse admits a client who has fallen from a ladder to the Emergency Department with a deep wound ...

The nurse admits a client who has fallen from a ladder to the Emergency Department with a deep wound on the leg. There is a blood-saturated pressure dressing on the wound. The nurse assesses the client and finds a heart rate of 128, respirations of 30, and blood pressure of 92/50. The priority action by the nurse at this time is which of the following?
1. Notify the physician immediately.
2. Reinforce the pressure dressing and elevate the extremity.
3. Remove the pressure dressing, assess the wound, and apply a new dressing.
4. Start an IV line for the administration of fluids.

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cambrian Author

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7 years ago

Thanks

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