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 A
Explanation
The nurse's response demonstrates respect for the client's autonomy, which is the principle of respecting the client's right to make decisions about their own healthcare. The nurse acknowledges the client's right to make a decision and offers support for whatever decision the client makes. Beneficence is the principle of doing good for the client, while nonmaleficence is the principle of avoiding harm. Veracity is the principle of telling the truth to the client, which is not necessarily demonstrated in this scenario.
Correct Answer is B
Explanation
This statement is appropriate because it is a recommended preventive health measure for women in this age group to detect any potential eye problems early on.
Option A is incorrect because the American Diabetes Association recommends that individuals over the age of 45 should have their fasting blood glucose level checked every 3 years, not every 6 years.
Option C is incorrect because the United States Preventive Services Task Force does not recommend routine hearing screening in adults who do not have any symptoms of hearing loss.
Option D is incorrect because the American Cancer Society recommends that individuals over the age of 50 should have a screening colonoscopy every 10 years or a fecal occult blood test every year, not every other year until the age of 74.
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