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 rigid abdomen with manifestations of shock
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
The Correct Answer is A
The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client who expresses fear of experiencing pain near the end may be at risk for suicide. This statement suggests that the client is considering end-of-life issues, which may be a trigger for suicidal ideation. The other statements do not necessarily indicate a risk for suicide. Statement A suggests a desire for control, statement B expresses optimism, and statement C suggests reliance on a partner for support.
Correct Answer is A
Explanation
. Tertiary prevention aims to prevent complications or further deterioration in individuals with existing health problems. Developing resources for victims of abuse is an example of tertiary prevention because it aims to prevent further harm to individuals who have already experienced violence. Presenting community education programs about stress management and urging community leaders to make nonviolence a priority are examples of primary prevention activities, which aim to prevent the occurrence of violence in the first place. Assessing for risk factors of intimate partner abuse during health examinations is an example of secondary prevention, which aims to detect violence early and intervene to prevent its progression.
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