A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?
A client who reports flank pain radiating to the groin
A client who has multiple fractures
A client with partial thickness burns to both hands
A client who has a punctured femoral artery
The Correct Answer is D
A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Flu-like symptoms: This is correct. Inhalation anthrax initially presents with flu-like symptoms, including fever, cough, and malaise. This early presentation can progress to severe respiratory distress and systemic illness.
B. Vesicles on the skin: This is incorrect. Vesicular lesions are more characteristic of diseases such as smallpox or chickenpox, not anthrax.
C. Respiratory failure: While respiratory failure can occur with advanced inhalation anthrax, it is a later-stage complication rather than an initial finding.
D. Flaccid paralysis: This is incorrect. Flaccid paralysis is not a typical symptom of anthrax exposure but may be associated with diseases such as botulism.
Correct Answer is D
Explanation
A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.
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