A young adult is admitted to the emergency department after a motor vehicle crash. The client has severe pain in the right chest due to impact with the steering wheel. Which is the priority client goal?

Decrease chest pain

Reduce the client's anxiety

Maintain adequate circulating volume

Maintain adequate oxygenation

Answer and Explanation

The Correct Answer is D

A. Decrease chest pain is important but not the highest priority. Managing pain can help with breathing, but oxygenation is the primary concern.

B. Reduce the client's anxiety is secondary to physiological needs. Anxiety can worsen dyspnea, but addressing oxygenation first is more critical.

C. Maintain adequate circulating volume is a priority if there is hemorrhage, but the question does not indicate bleeding. Oxygenation takes precedence in this case.

D. Maintain adequate oxygenation is the priority. Chest trauma can lead to pneumothorax, pulmonary contusion, or other complications that can impair gas exchange. Ensuring adequate oxygenation prevents hypoxia and respiratory failure, which are life-threatening.

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Correct Answer is C

Explanation

A. Inability to understand directions
The client's issue is with motor coordination, not comprehension.

B. Lesion of cranial nerve IX
Cranial nerve IX (Glossopharyngeal) is associated with swallowing and taste, not motor coordination.

C. Dysfunction of the cerebellum
The cerebellum controls coordination and fine motor movements. The client's inability to perform rapid alternating movements (dysdiadochokinesia) suggests cerebellar dysfunction.

D. Vestibular disease
Vestibular disorders cause dizziness, vertigo, and balance problems but do not typically affect rapid alternating movements.

A. 20-gauge catheter in the the right wrist infusing IV antibiotics B. 20-gauge catheter in the the right forearm infusing 0.9% Normal Saline C. 22-gauge catheter in the left forearm infusing 0.45% Normal Saline D. 18-gauge infusing 20mg Potassium Chloride IV

Correct Answer is B

Explanation

A. 20-gauge catheter in the right wrist infusing IV antibiotics

Infusing antibiotics can cause incompatibilities.

B. 20-gauge catheter in the right forearm infusing 0.9% Normal Saline

A 20-gauge or larger catheter in a patent IV site with compatible fluid (NS) is required for PRBC transfusion.

C. 22-gauge catheter in the left forearm infusing 0.45% Normal Saline

A 22-gauge catheter is too small for safe transfusion.

D. 18-gauge infusing 20 mg Potassium Chloride IV

Potassium chloride infusion should not be interrupted, making this site unsuitable.

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A young adult is admitted to the emergency department after a motor vehicle crash. The client has severe pain in the right chest due to impact with the steering wheel. Which is the priority client goal?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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