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 D
Explanation
A. Rub the skin completely dry following a decontamination shower: This is incorrect. The skin should be patted dry, not rubbed, to avoid further irritation.
B. Prepare to administer amyl nitrate: This is incorrect. Amyl nitrate is used for cyanide poisoning, not sarin gas exposure.
C. Provide respiratory support with a plastic airway: While respiratory support may be needed, the priority in sarin gas exposure involves addressing symptoms and potential seizures.
D. Initiate seizure precautions: Sarin gas is a nerve agent that can cause seizures due to its effect on the nervous system. Seizure precautions are necessary for clients exposed to sarin gas.
Correct Answer is B
Explanation
A. History of sexually transmitted infection (STI): This is incorrect. A history of STI is not a contraindication for menopausal hormone therapy.
B. History of breast cancer: This is correct. Hormone therapy is not recommended for individuals with a history of breast cancer due to the potential risk of cancer recurrence or progression.
C. History of chronic obstructive pulmonary disease (COPD): This is incorrect. While HT might not be the primary treatment for COPD, it is not contraindicated solely due to COPD.
D. History of thyroiditis: This is incorrect. A history of thyroiditis does not contraindicate the use of hormone therapy for menopause.
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