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 client who has a fractured fibula and tibia

A client who has sustained a major burn to their upper torso and extremities

A client who has a sprained ankle and laceration to the lower leg

A client who has an open traumatic brain injury and agonal breaths

Answer and Explanation

The Correct Answer is D

A. A client who has a fractured fibula and tibia: This is incorrect. While serious, this injury does not require immediate life-saving intervention and is generally categorized as less urgent.
B. A client who has sustained a major burn to their upper torso and extremities: This is incorrect. Although severe, if the client is stable and responsive, they may be categorized as yellow (delayed) unless there are immediate life-threatening complications.
C. A client who has a sprained ankle and laceration to the lower leg: This is incorrect. These injuries are considered less severe and would typically be tagged as green (minor).
D. A client who has an open traumatic brain injury and agonal breaths: This is correct. Agonal breaths and severe head injury indicate a need for immediate life-saving intervention, so this client should receive a red tag for the highest priority.

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Free Nursing Study Resources

Correct Answer is ["675"]

Explanation

To calculate the appropriate dose of vancomycin, follow these steps:

Convert pounds to kilograms:
- 198 lb (1 kg / 2.2 lb) = 90 kg
Calculate the total daily dose:
- 15 mg/kg/day 90 kg = 1350 mg/day
Determine the dose per administration:
- 1350 mg/day / 2 doses/day = 675 mg/dose

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test. B. Educate the client about the risk factors associated with cervical cancer. C. Assess the client's vital signs, including blood pressure and pulse rate. D. Explain the steps of the Pap test procedure to the client.

Correct Answer is D

Explanation

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test: While abstaining from sexual intercourse can be recommended to avoid contamination, it is not the most immediate concern before performing the test.
B. Educate the client about the risk factors associated with cervical cancer: While important, this is not a pre-procedural intervention but rather part of general patient education.
C. Assess the client's vital signs, including blood pressure and pulse rate: Vital signs are important but not specifically required before performing a Pap test.
D. Explain the steps of the Pap test procedure to the client: This is the most appropriate intervention as it prepares the client for the procedure, reducing anxiety and ensuring informed consent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["675"]

Explanation

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?

Correct Answer is D

Explanation

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

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?

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A nurse working in an emergency department is caring for a client who has third-degree frostbite to both lower extremities. The nurse should take which of the following actions?

A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?