Hydrogel Dressing

Question 1 of 8

When suturing the patient’s lacerations, the nurse practitioner orders lidocaine with epinephrine. However, when anesthetizing the nose wound, the NP requests lidocaine without epinephrine because:

Epinephrine is a vasodilator and will cause further bleeding

Epinephrine will cause further nasal discharge and contaminate the wound

Epinephrine is a vasoconstrictor and may cause tissue ischemia

Administering epinephrine so close to the respiratory tract may cause bronchospasms

Question 2 of 8

After a patient’s lacerations are sutured, the nurse questions the patient and learns he received a tetanus booster 8 months ago. Based on this information, the nurse would:

Not administer a tetanus prophylaxis because it is unnecessary

Suggest that the patient have two tetanus booster shots 3 months apart

Administer half the usual dose of tetanus toxoid

Administer 0.5 mL of absorbed tetanus toxoid

Question 3 of 8

The ED nurse is assessing a machinist who sustained an injury to his left hand when his ring finger became caught in a baling machine. The patient sustained multiple lacerations about the wrist and hand as well as significant loss of the skin, soft tissue, and tendons underlying the area. The skin torn from the patient’s finger was transported to the ED in a plastic bag. The patient is right-handed. All of the following initial nursing actions would be appropriate except:

Assessing the patient's distal neurovascular status

Soaking the injured finger in povidone-iodine solution

Mechanically removing large pieces of debris from the wound

Wrapping the injured finger in sterile gauze

Question 4 of 8

Before a patient’s facial lacerations are treated, the nurse should:

Irrigate the wounds

Provide a mirror for the patient to assess the injury

Apply an aerosol anesthetic

Scrub the wounds vigorously

Question 5 of 8

The ED nurse is assessing a machinist who sustained an injury to his left hand when his ring finger became caught in a baling machine. The patient sustained multiple lacerations about the wrist and hand as well as significant loss of the skin, soft tissue, and tendons underlying the area. The skin torn from the patient’s finger was transported to the ED in a plastic bag. The patient is right-handed. All of the following initial nursing actions would be appropriate except:

Assessing the patient's distal neurovascular status

Mechanically removing large pieces of debris from the wound

Wrapping the injured finger in sterile gauze

Soaking the injured finger in povidone-iodine solution

Question 6 of 8

A 22-year-old man is bleeding profusely from a facial laceration when brought to the emergency department (ED). A part of his nose is missing. As the patient screams for help, he shows the nurse the missing nose part in his hand. The priority nursing intervention at this time would be to:

Evaluate the amputated nose part for possible reimplantation

Question the patient about cause of the trauma

Apply direct digital pressure to the bleeding vessels

Obtain arterial blood gas measurements to assess airway patency

Question 7 of 8

One of a patient’s lacerations extends through his left eyebrow. The nurse responds appropriately by:

Shaving the eyebrow

Leaving the eyebrow intact

Applying adhesive skin closures

Assessing for injury to the first cranial nerve

Question 8 of 8