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 superficial partial-thickness burn injuries over 5% of his body.
A client who is ambulatory and exhibits manic behavior.
A client who has a rigid abdomen with manifestations of shock.
A client who has a femur fracture with a 2+ pedal pulse.
The Correct Answer is C
This indicates that the client may have internal bleeding, which is a life-threatening condition that requires immediate medical attention. The nurse should provide supportive care, such as administering oxygen, and arrange for rapid transport to a trauma center.
The client with superficial partial-thickness burn injuries over 5% of his body may require medical attention, but this is not immediately life-threatening.
The client who is ambulatory and exhibits manic behavior may require psychological support, but this is not a priority in the acute phase of a traumatic event.
The client who has a femur fracture with a 2+ pedal pulse may require immobilization and pain management, but this is also not a priority in the acute phase of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Primary prevention focuses on preventing a problem before it occurs by promoting health and wellness. Providing parenting classes for local parents can help them develop skills to manage their children's behavior effectively, which can reduce the risk of violence in the community.
While the other options are important interventions to address violence, they are considered secondary or tertiary prevention strategies, as they aim to prevent violence from recurring or manage its consequences.
Correct Answer is B
Explanation
The nurse should identify option B, "Developing resources for victims of abuse," as an example of tertiary prevention. This intervention focuses on reducing the impact of a disease or injury that has already occurred. In this case, the focus is on providing support and resources for victims of abuse to help them recover from the effects of the violence.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option C is a combination of primary and secondary prevention, as it focuses on preventing violence from occurring and addressing it early if it does occur.
Option D is a secondary prevention activity, as it focuses on early identification and intervention to prevent further harm or complications related to intimate partner abuse.
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