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 is ambulatory and exhibits manic behavior.
A client who has superficial partial-thickness burn injuries over 5% of his body.
A client who has superficial partial-thickness burn injuries over 5% of his body.
The Correct Answer is A
The correct answer is Choice A because, a client who has a rigid abdomen with manifestations of shock. This client is showing signs of internal bleeding and hypovolemic shock, which is a medical emergency that requires immediate treatment to prevent further complications or death. Therefore, the priority should be given to this client.
Choice B is wrong because, a client who has a femur fracture with a 2+ pedal pulse, has a stable condition and can wait for treatment. Choice C is wrong because, a client who is ambulatory and exhibits manic behavior, is not a medical emergency and can wait for treatment. Choice D is wrong because, a client who has superficial partial-thickness burn injuries over 5% of his body, can wait for treatment as these injuries are not life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "You should have a complete eye examination every 2 years until the age of 64." Women over 50 should have a complete eye exam every 2 years until the age of 64 to screen for age-related macular degeneration, cataracts, and glaucoma. Having hearing screened every 5 years (Choice A is wrong because) is recommended for adults over the age of 50. Having a fasting blood glucose level checked every 3 years (not every 6 years) (Choice B is wrong because) is recommended for adults aged 45 years and older. Testing stool for blood (Choice C is wrong because) is a screening test recommended for colorectal cancer starting at age 50.
Choice A is wrong because: Having hearing screened every 5 years is recommended for adults over the age of 50.
Choice B is wrong because: Having a fasting blood glucose level checked every 6 years is not correct. It is recommended every 3 years for adults aged 45 years and older.
Choice C is wrong because: Testing stool for blood is recommended for colorectal cancer starting at age 50.
Choice D is wrong because: Having a complete eye examination every 2 years until the age of 64 is recommended.
Correct Answer is A
Explanation
The correct answer is Choice D because, reliance on written notes during the teaching session. This factor can be a barrier to learning because the nurse cannot ensure that the client and family understand the information being presented, and may miss important points that were not included in the written notes.
Choice A is wrong because, use of humor to deal with disruptive behavior, is incorrect as the use of humor can be an effective strategy to engage clients and promote learning. Choice B is wrong because, previous experience teaching HIV management courses, is incorrect as this factor can enhance the nurse's ability to effectively teach clients and families about HIV management. Choice C is wrong because, use of educational materials in written and video format, is incorrect as this factor can enhance the client's ability to understand and retain information.
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