A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

A client who has a punctured femoral artery

A client who has an open fracture

A client who exhibits manifestations of multiple organ failure

A client who has several closed fractures with bruising

Answer and Explanation

The Correct Answer is A

A.   Emergent (red tag) category includes patients with life-threatening injuries requiring immediate attention, such as a punctured femoral artery.
B.   An open fracture may be urgent but not emergent unless associated with severe bleeding or other life-threatening complications.
C.   Manifestations of multiple organ failure are severe but may fall into the expectant (black tag) category.
D.   Closed fractures with bruising may be urgent but not emergent unless there are associated life-threatening complications.

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Correct Answer is A

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.

A. Type AB B. Type O C. Type A D. Type B

Correct Answer is B

Explanation

A. Type AB blood is the universal plasma donor but is not typically used for packed red blood cell transfusions.
B. Type O negative (O-) is the universal donor for packed red blood cells and can be administered to patients of any blood type in an emergency.
C. Type A blood is not universally compatible and should be matched for the ABO system.
D. Type B blood is not universally compatible and should be matched for the ABO system.

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A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who is in hemorrhagic shock and has a prescription for packed red blood cells. Which type of blood can be administered to the client while awaiting blood from a type and cross-match?

Correct Answer is B

Explanation

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