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 client who has acute tonsillitis, is drooling, and has difficulty swallowing

A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness

A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%

A client who has lower left abdominal pain and bloody stools

Answer and Explanation

The Correct Answer is A

A. A client who has acute tonsillitis, is drooling, and has difficulty swallowing: This client is likely experiencing severe swelling or an airway obstruction, which requires immediate attention to ensure the airway is not compromised.
B. A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness: While this client has concerning symptoms, airway compromise is prioritized in triage.
C. A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%: This client is hypoxic and requires prompt intervention, but airway issues take precedence.
D. A client who has lower left abdominal pain and bloody stools: This client may have a serious condition but does not require as immediate intervention as a compromised airway.

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Correct Answer is B

Explanation

A. "I should include foods high in protein and vitamin C in my diet": This is incorrect. While a healthy diet can support overall health, it is not a specific preventive measure for PID recurrence.
B. "My sexual partner should be tested for sexually transmitted infections (STIs)": This is correct. Preventing STI transmission is crucial in reducing the risk of PID recurrence. Both partners should be tested and treated if necessary to prevent reinfection.
C. "I will require surgery to drain and irrigate my pelvis": This is incorrect. Surgery is not typically required to prevent PID recurrence. Treatment and prevention focus on antibiotics and STI management.
D. "I should receive the human papillomavirus (HPV) vaccine": This is incorrect. While the HPV vaccine can prevent certain sexually transmitted infections, it does not directly address the prevention of PID, which is more related to preventing and treating STIs.

A. Massage the legs. B. Apply dry heat to the legs. C. Elevate the legs. D. Immerse the legs in cold water.

Correct Answer is C

Explanation

A. Massage the legs: This is incorrect. Massage is contraindicated as it can cause further tissue damage and is not appropriate for frostbite.
B. Apply dry heat to the legs: This is incorrect. Dry heat can exacerbate tissue damage. Rewarming should be done using controlled, warm water immersion, not dry heat.
C. Elevate the legs: This is correct. Elevating the legs helps reduce swelling and can prevent further tissue damage. However, rewarming should be done carefully in a controlled environment.
D. Immerse the legs in cold water: This is incorrect. Immersing in cold water would worsen the frostbite. Rewarming should be done using warm (not hot) water, ideally at 37-39°C (98.6-102.2°F), for effective treatment.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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