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 B
Explanation
The correct answer is Choice B because, "Compiling resources available to transition individuals from shelters to a home." Secondary prevention focuses on minimizing the impact of an event that has already occurred, and providing resources for individuals to transition from a shelter to a home can help minimize the long-term impact of the disaster.
Choice A is wrong because, "Publishing a listing of shelter locations in local media sources," is not the correct answer because it is a primary prevention strategy that focuses on preventing the negative effects of a disaster.
Choice C is wrong because, "Interviewing shelter residents to determine the effectiveness of coping behaviors," is not the correct answer because it is a tertiary prevention strategy that focuses on providing support to individuals who have already experienced negative effects of a disaster.
Choice D is wrong because, "Providing age-appropriate activities for shelter residents," is not the correct answer because it is a tertiary prevention strategy that focuses on providing support to individuals who have already experienced negative effects of a disaster.
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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