nclex question

Iammblessed2011 · Jul 21, 2011

I would attend to the person with multiple laceration on the face because of airway problem. Like marlene (Hurst Review) would say you can't worry about your eye if your dead cuz you can't breath.

LOL

linsmirn · Jul 21, 2011

One of those questions, I would go with the laceration to the face. ABC's

Angelrina,CCRN · Jul 21, 2011

I would go with the eye injury. I don't have a clear explanation. But lacerations on the face don't tell me that the patient can't breathe. Object in the eye could result in blindness though. But then again, multiple lacerations could maybe pose a risk to hemorrhage. Wow, this is tough.

linsmirn · Jul 21, 2011

I would go with the eye injury. I don't have a clear explanation. But lacerations on the face don't tell me that the patient can't breathe. Object in the eye could result in blindness though. But then again, multiple lacerations could maybe pose a risk to hemorrhage. Wow, this is tough.

A person can have an object in their eye for awhile, theres nothing the nurse can do but put a patch over it, its the doctor that has to remove it. Trick question. The anser is laceration to the face, you dont know if they have a patent airway, so assess them first. Whenever it comes to the face you dont need detailed explanation, ABC should come to mind.

Double-Helix, BSN, RN · Jul 21, 2011

hi Guyz! i just wanna ask who to attend first.. a person who had multiple lacerations on the face or a person who had an object eye injury? thanks!

Not sure I agree that lacerations on the face is an airway issue. if it said lacerations on the mouth or neck, you've got a better point, but lacerations on the face aren't likely to cause an issue with the airway.

An object eye injury, however, could be anything. It could cause blindness, it could have gone through the eye and into the brain (rare, but possible), and I would want them to be assessed. Even though the nurse can't remove the object, the question is written as though the nurse is doing triage and the doctor needs to see the patient with the eye injury right away.

caliotter3 · Jul 21, 2011

I don't see where lacerations on the face cause an airway problem if it is not stated, but if you don't put a patch over the eye injury, that person may do further damage to their eye. That is how I see it.

2011nursetobe · Jul 21, 2011

I was always taught that after abc's, an EYE injury is always most important because it can lead to blindness. I would definitely go with eye injury for that reason. Facial Laceration sounds so non specific. It didn't say mouth or neck. I'd like to know the answer to this question.

linsmirn · Jul 21, 2011

hi Guyz! i just wanna ask who to attend first.. a person who had multiple lacerations on the face or a person who had an object eye injury? thanks!

So whats the answer

Kazza, MSN, RN · Jul 21, 2011

Definitely assume the worst as a new nurse......you hear laceration, you assume the patient is bleeding profusely, you cant assume it is a scratch we are in (NCLEX World). The patient has another eye, he/she will still be able to see with one.....

The patient with laceration has got to be the answer, based on NCLEX-RN expectations.....

linsmirn · Jul 21, 2011

Definitely assume the worst as a new nurse......you hear laceration, you assume the patient is bleeding profusely, you cant assume it is a scratch we are in (NCLEX World). The patient has another eye, he/she will still be able to see with one.....
The patient with laceration has got to be the answer, based on NCLEX-RN expectations.....

Agree, Ive seen quetions like this before and its always ABC, you cant think what if's.

boy_genius_fnp112 · Jul 21, 2011

A person can have an object in their eye for awhile, theres nothing the nurse can do but put a patch over it, its the doctor that has to remove it. Trick question. The anser is laceration to the face, you dont know if they have a patent airway, so assess them first. Whenever it comes to the face you dont need detailed explanation, ABC should come to mind.

I have to agree with your explanation about how the object can remain the eye for some time. There is nothing do a Nurse can do but put a patch over it. It is either going to be the PA, or the MD that is going to have the task of taking it out and deciding what further action is deemed necessary. ABC should come to mind in answering this question.