The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

A client with a burn on their forearm sustained from boiling water

A client with a right ankle fracture unable to place any weight on it

A client with severe abdominal pain who is pale and diaphoretic

A client with a head laceration being controlled with pressure

Answer and Explanation

The Correct Answer is C

A. A client with a burn on their forearm sustained from boiling water: While burns require assessment and care, a forearm burn without signs of systemic compromise is not immediately life-threatening and can wait after more urgent cases.

B. A client with a right ankle fracture unable to place any weight on it: An isolated fracture causes pain and limited mobility but is not life-threatening, making it lower priority in triage compared to clients with potential systemic compromise.

C. A client with severe abdominal pain who is pale and diaphoretic: Pallor and diaphoresis indicate possible shock or serious internal pathology. This client is at highest risk for rapid deterioration and requires immediate assessment and intervention.

D. A client with a head laceration being controlled with pressure: If bleeding is controlled and the client is stable, this is urgent but not immediately life-threatening, so the client can be assessed after those showing signs of shock or systemic compromise.

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Correct Answer is A

No explanation

A. Nonmaleficence B. Veracity C. Autonomy D. Fidelity

Correct Answer is A

Explanation

A. Nonmaleficence: By completing training before administering chemotherapy, the nurse ensures they do not cause harm to clients. Nonmaleficence emphasizes the ethical responsibility to prevent injury or harm through safe and competent care.

B. Veracity: Veracity involves truthfulness and honesty in interactions with clients, such as providing accurate information about treatments. While important, completing training primarily addresses safety, not truth-telling.

C. Autonomy: Autonomy refers to respecting a client’s right to make informed decisions about their care. Completing training does not directly relate to client decision-making.

D. Fidelity: Fidelity involves keeping commitments and being faithful to professional responsibilities. While training supports professional competence, the key ethical principle demonstrated here is preventing harm, aligning with nonmaleficence.

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The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse completes a client's health history and a genogram. What is the reason for the nurse to complete a genogram?

Correct Answer is A

The nurse completes training in administering chemotherapy before transferring to an oncology unit to ensure they can care for those clients safely. Which ethical principle has the nurse demonstrated?

Correct Answer is A

Explanation

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