A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

Community law enforcement officers can serve as triage officials during an emergency.

Nurses and other emergency medical personnel can serve as triage officials during an emergency.

Local fire fighters can serve as triage officials during an emergency.

Members of the Federal Emergency Management Agency (FEMA) can serve as triage officials during an emergency.

Answer and Explanation

The Correct Answer is B

A. Community law enforcement officers can serve as triage officials during an emergency: Law enforcement officers are typically not trained as triage officials and their primary role is to ensure public safety and manage security.
B. Nurses and other emergency medical personnel can serve as triage officials during an emergency: This is correct as nurses and other trained medical personnel have the necessary skills to assess and prioritize care based on the severity of injuries or conditions.
C. Local fire fighters can serve as triage officials during an emergency: While fire fighters are crucial in emergency response, they are not typically trained as triage officers unless they have specific medical training.
D. Members of the Federal Emergency Management Agency (FEMA) can serve as triage officials during an emergency: FEMA provides support and resources but does not generally serve as triage officials. The role of triage is typically handled by medical professionals on the scene.

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Correct Answer is C

Explanation

A. Ensure the client's intake is greater than their output: This is incorrect. In continuous bladder irrigation, the output may exceed the intake because the irrigation fluid is used to flush the bladder. The focus should be on ensuring proper drainage and monitoring for clots or obstruction rather than ensuring intake exceeds output.
B. Monitor the client's urine output every eight hours: This is incorrect. Following a transurethral resection of the prostate with continuous bladder irrigation, urine output should be monitored more frequently to ensure the irrigation system is functioning properly and to assess for signs of bleeding or obstruction.
C. Remind the client he might feel a constant urge to void: This is correct. It is common for clients to experience a constant urge to void due to bladder irritation and the presence of the catheter.
D. Assess for manifestations of fluid volume deficiency: This is incorrect. The primary concern with continuous bladder irrigation is monitoring for signs of bleeding or obstruction rather than fluid volume deficiency. Fluid balance is monitored based on intake and output, but deficiency is less likely in this context.

A. History of sexually transmitted infection (STI) B. History of breast cancer C. History of chronic obstructive pulmonary disease (COPD) D. History of thyroiditis

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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A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?

Correct Answer is B

Explanation

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

A nurse is performing triage on the incident scene for several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?

A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse working in an emergency department is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take?