A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
A client who has a raised red skin rash on his arms, neck, and face
A client who has active bleeding from a puncture wound of the left groin area
A client who reports right-sided flank pain and is diaphoretic
A client who reports shortness of breath and left neck and shoulder pain
The Correct Answer is A
A. The client with active bleeding from a puncture wound in the groin is the highest priority because of the risk of severe blood loss, which can lead to hypovolemic shock. The nurse should quickly apply pressure to the wound, assess the extent of the bleeding, and prepare for emergency interventions.
B Active bleeding is part of crculation in the ABCs that comes after airway and breathing
C. Client could be having a kidney stone which is not a priority
D. These symptoms could indicate a pulmonary embolism or heart attack, but they may not be as immediately life-threatening as active bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rating the pain scale of a client is a low risk task that can be performed by assistive personnel
A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse
B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse
C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention
Correct Answer is ["B","C","E"]
No explanation
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