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 B

Explanation

A. Manually irrigate the catheter: This action is premature if the issue is due to a kink or obstruction in the tubing. Manual irrigation should only be performed if other less invasive measures do not resolve the issue.
B. Check the catheter tubing for kinks: This is the first step to take as kinks in the tubing can obstruct the flow of urine. Identifying and correcting kinks may resolve the problem without further intervention.
C. Notify the healthcare provider: This step may be necessary if other interventions do not resolve the issue, but it is not the first action.
D. Adjust the rate of the bladder irrigant: This may be relevant if the problem is related to the irrigation rate, but checking for kinks should be done first to ensure proper catheter function.

A. Hemorrhage B. Pain C. Urinary retention D. Infection

Correct Answer is A

Explanation

A. Hemorrhage: This is the priority complication to monitor for in the immediate postoperative period after a transurethral resection of the prostate (TURP). Hemorrhage can lead to significant blood loss and requires prompt intervention.
B. Pain: While pain management is important, it is not the immediate priority compared to the risk of hemorrhage in the postoperative setting.
C. Urinary retention: Although important to monitor, urinary retention is a common postoperative issue but does not pose the same immediate risk as hemorrhage.
D. Infection: Infection is a concern but typically develops later in the postoperative period and is not as immediate a risk as hemorrhage.

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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 caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which postoperative complication is the priority for the nurse to monitor?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first?

A nurse is educating a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client requires further education?

A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

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?

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