A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care?
An adult client who is short of breath.
An infant client who is crying.
An older adult client who has a fractured arm.
A school-age client who has a head abrasion.
The Correct Answer is A
The correct answer is Choice A because, "An adult client who is short of breath." Shortness of breath may indicate a life-threatening condition that requires immediate medical attention. The other clients should also receive care as soon as possible, but the client who is short of breath should be the priority.
Choice B is wrong because, "An infant client who is crying," is not the correct answer because crying is a normal behavior for infants and does not necessarily indicate a lifethreatening condition.
Choice C is wrong because, "An older adult client who has a fractured arm," is not the correct answer because a fractured arm is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.
Choice D is wrong because, "A school-age client who has a head abrasion," is not the correct answer because a head abrasion is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B because, don personal protective equipment. The nurse should protect herself first by putting on personal protective equipment to prevent contamination and further spread of the suspected bioterrorism agent.
Choice A is wrong because, report the client's condition to the Federal Bureau of Investigation, is incorrect as this is not the primary role of the nurse, and the client's condition should be reported to the local public health department. Choice C is wrong because, disinfect contaminated areas of skin with isopropyl alcohol, is incorrect as this is not a recommended treatment for bioterrorism-related illnesses, and the nurse should avoid touching the client or any contaminated items. Choice D is wrong because, move the client to a quarantine area, is incorrect as the nurse should not move the client, but instead limit contact with the client and follow established infection control protocols.
Correct Answer is D
Explanation
The correct answer is Choice A because, Double-bag soiled dressings in polyethylene bags. The nurse should double-bag soiled dressings in polyethylene bags to contain the infection and prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA). The bags should be securely tied and labeled as contaminated.
Choice B is wrong because, Encourage the client to use a HEPA filter in the house, is not the correct answer because a HEPA filter is not effective in controlling the spread of MRSA.
Choice C is wrong because, Wear a mask when within 3 feet of the client, is not the correct answer because wearing a mask is not necessary unless the nurse is providing direct care to the client and is within 3 feet of them.
Choice D is wrong because, Remove fresh flowers from the client's home, is not the correct answer because fresh flowers are not a source of MRSA.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.