A nurse in an emergency department is performing triage on a group of clients.
Which of the following clients should the nurse see first?

A client who has heart failure and peripheral edema.

A client who has cirrhosis of the liver and bruising on their arms.

A client who reports urinary burning and a temperature of 39.2° C (102.5° F).

A client who has a new onset of atrial fibrillation and a heart rate of 152/min.

Answer and Explanation

The Correct Answer is D

Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm.

While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.

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Correct Answer is B

Explanation

Choice A rationale:

Including a note in the medical record that an incident report was completed is a crucial step in documenting the event. It serves as a legal and organizational record of the incident, providing transparency and accountability. This information can be essential for tracking trends, identifying areas for improvement, and ensuring patient safety.

Choice B rationale:

Identifying other people involved with the event in the incident report is also an important step. It helps in determining who was present or responsible during the incident, which can be crucial in investigating the event and identifying potential areas for process improvement.

Choice C rationale:

Including personal opinions regarding an event in an incident report is not advisable. Incident reports should focus on factual, objective information. Personal opinions can introduce bias and subjectivity, which may not be helpful in addressing the root causes of the incident or improving the quality of care.

Choice D rationale:

Identifying the person responsible for the error in the incident report is a valid step, as it helps in assigning accountability and addressing any systemic issues that may have contributed to the error. However, it's essential to do so without assigning blame or making judgments. The emphasis should be on improving processes and preventing similar incidents in the future.

A. Collaborator. B. Case manager. C. Nurse manager. D. Advocate.

Correct Answer is A

Explanation

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A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

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Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse in an emergency department is performing triage on a group of clients.
Which of the following clients should the nurse see first?