A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
A client who has a femur fracture with a 2+ pedal pulse
A client who has superficial partial-thickness burn injuries over 5% of his body
A client who is ambulatory and exhibits manic behavior
A client who has a rigid abdomen with manifestations of shock
The Correct Answer is D
A. A femur fracture with a 2+ pedal pulse indicates adequate circulation and is not immediately life-threatening.
B. Superficial burns, while painful, are not immediately life-threatening unless covering a significant portion of the body.
C. Ambulatory with manic behavior suggests psychological distress but not immediate life-threatening physical condition.
D. A rigid abdomen with signs of shock indicates potential internal bleeding or organ injury requiring immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The decision to seek hospice services should be guided by the client's preferences and needs.
B. Providing quiet time for prayer or meditation respects the client's spiritual and emotional needs.
C. Conversations should be client-centered and address their health status as appropriate.
D. Sharing personal health information should follow the client's consent and privacy preferences.
Correct Answer is D
Explanation
A. Sponsorship by a political action committee does not guarantee reliability or relevance to dialysis care.
B. Websites should ideally be updated more frequently to ensure currency of information.
C. Hosting by a marketing group may introduce bias in information.
D. Peer review ensures that information is vetted by experts in the field, enhancing credibility and reliability.
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