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 D
Explanation
Choice A is wrong because: Using wool blankets can generate static electricity, which can be a fire hazard.
Choice B The oxygen delivery system should be placed at least 5feet, not 3, away from a heating vent to prevent fire.
Choice C is wrong because: Petroleum jelly should not be used with oxygen therapy because it is flammable.
Choice D Checking the flow rate of oxygen daily is important as it ensures that the client is receiving the recommendedtherapy.
Correct Answer is C
Explanation
The correct answer is Choice C because, "Clients will schedule bone density screenings." Postmenopausal women are at an increased risk for osteoporosis, and bone density screenings can help identify early signs of the disease, enabling early intervention to prevent complications.
Choice A is wrong because, "Clients will start hormone replacement therapy," is not the correct answer because hormone replacement therapy is not appropriate for all women and can have
negative side effects. It is not an appropriate outcome for an educational program.
Choice B is wrong because, "Clients will significantly decrease caloric intake," is not the correct answer because this outcome is not relevant to postmenopausal women specifically. Additionally, significant caloric restriction can lead to malnutrition and other negative health outcomes.
Choice D is wrong because, "Clients will arrange for mammograms every 3 years," is not the correct answer because while mammograms are an important screening tool for breast cancer, they are not specific to postmenopausal women and should be recommended to all women starting at age 40. Bone density screenings are a more appropriate outcome for a program specifically targeting postmenopausal women.
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