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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A is wrong because: Using wool blankets can generate static electricity, which can be a fire hazard.
Choice B The oxygen delivery system should be placed at least 5feet, not 3, away from a heating vent to prevent fire.
Choice C is wrong because: Petroleum jelly should not be used with oxygen therapy because it is flammable.
Choice D Checking the flow rate of oxygen daily is important as it ensures that the client is receiving the recommendedtherapy.
Correct Answer is B
Explanation
Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.
This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.
This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.
While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.
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