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 B
Rationale
B. Active bleeding site is part of the ABCs of basic life support (Circulation and hemorrhage contro) and should be addressed first
A. Client maybe having an allergic reaction which is urgent but not priority
C. Client could be having a kidney stone which is not a priority
D. The client could be experiencing a heart attack which is important but not priority
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse shows empathy towards the client and respects her wish to not have the procedure
B. This shows a lack of acknowledgement of the client’s emotional distress
C. This shows a lack of empathy and compassion
D. The nurse is reassuring but fails to understand that the client’s concerns may not be about safety.
Correct Answer is A
Explanation
Closing the door endangers the people in immediate danger and should not be the first action.
Fire response should begin with removing the people at immediate danger from the fire.
Extinguishing should come after all people have been rescued form the premises.
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