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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Correct Answer is C
Explanation
The correct answer is Choice C because "You should limit your use of extension cords." Extension cords are a common source of electrical hazards and should be used only when necessary. The nurse should advise the client to use power strips with built-in circuit breakers instead of extension cords.
Choice A is wrong because, "You should pull on the cord when unplugging items," is not the correct answer as pulling on the cord can damage the cord and create a hazard. Choice B is wrong because, "You should cover electrical cords with an area rug," is not the correct answer as this can create a trip hazard. Choice D is wrong because, "You should secure extension cords with clear packing tape," is not the correct answer as this does not address the underlying issue of using extension cords unnecessarily.
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