A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
A client who has an open fracture of the femur
A client who has periorbital ecchymosis
A client who has a deep partial thickness burn on the lower extremities
A client who has an asymmetrical thorax
The Correct Answer is D
Rationale for A: An open fracture of the femur is serious and requires prompt treatment, but it does not typically indicate an immediate life threat compared to other conditions.
Rationale for B: Periorbital ecchymosis can indicate facial trauma, but it is not necessarily life-threatening and would not be prioritized as emergent.
Rationale for C: A deep partial thickness burn on the lower extremities is significant and requires treatment, but unless the burn covers a large area or is complicated by other factors, it is not the most critical issue compared to respiratory or cardiovascular threats.
Rationale for D: An asymmetrical thorax may suggest a possible pneumothorax or other significant respiratory issue, which could lead to respiratory distress or failure. This client should be tagged as emergent due to the potential for rapid deterioration.
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Related Questions
Correct Answer is A
Explanation
A. Battery involves unauthorized or harmful physical contact, which administering the injection without consent would constitute.
B. False imprisonment involves restricting a person's freedom of movement unlawfully, which doesn't apply in this scenario.
C. Assault involves the threat of unwanted or harmful contact.
D. Libel refers to written defamation or false statements that damage someone's reputation, which is not relevant in this situation involving administering medication.
Correct Answer is B
Explanation
A. Keeping all four side rails up on beds can increase the risk of entrapment or injury and isn't recommended as a fall prevention strategy.
B. Instituting regular rounds during the day to offer toileting helps prevent falls related to residents attempting to get to the bathroom independently.
C. Accompanying older residents during ambulation is helpful but might not be feasible at all times and for all residents.
D. Using vest restraints can lead to physical and psychological complications and is not recommended due to ethical and safety concerns.
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