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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Migrant workersmay face barriers such as irregular work hours, lack of transportation, or limited access to healthcare facilities. A community health nurse helps people in a local community however, they do not provide health services in private places like work sites.
B.Many migrant workers may have limited financial resources and may struggle with the cost of fee-for-service healthcare. This approach could create financial barriers and limit access to necessary health services for this population.
C.Community centers provide a central location where migrant workers and their families can access health screenings and other services. This approach is beneficial and accessible.
D.Requiring a work visa can exclude undocumented workers or those without proper documentation from receiving care. This requirement could prevent a significant portion of the migrant population from accessing necessary health services and does not align with the goal of providing inclusive and equitable healthcare.
Correct Answer is C
Explanation
A.While insurance coverage is important, it is not a criterion for qualifying for hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, regardless of insurance coverage.
B.Hospice care can be provided in various settings, including the home, hospice facilities, or inpatient units. The need for inpatient care due to a lack of a caregiver is not a criterion for hospice eligibility; rather, hospice focuses on the terminal nature of the illness.
C.Hospice careis a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. People may choose to enroll in hospice care if the treatment is unlikely to be effective or if continuing it has become too burdensome.
D.Choice D states that the client has documentation stating they have less than 12 months to live. However, for hospice care eligibility, the standard criterion is a life expectancy ofsix months or less, as certified by a physician. This is a key distinction, as hospice care focuses on providing comfort and support during the final months of life, rather than extending life expectancy.
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