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The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?

Check the client’s temperature, blood sugar, and urine output.

Arrange for the client to be transported for laboratory tests and an electrocardiogram (ECG).

Delegate care of the crying client to an unlicensed assistant.

Direct the client to the shelter’s nutrition center to obtain water and food.

Answer and Explanation

The Correct Answer is D

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Checking the client’s temperature, blood sugar, and urine output could be important in certain situations, but in this case, it may not be the most immediate need. The client is wandering and crying, which suggests emotional distress rather than a physical health issue.

Choice B rationale

Arranging for the client to be transported for laboratory tests and an electrocardiogram (ECG) would be an overreaction in this situation. There’s no indication from the client’s behavior that they are experiencing a medical emergency.

Choice C rationale

Delegating care of the crying client to an unlicensed assistant is not the best choice. The client is likely experiencing emotional distress due to the traumatic event, and they would benefit from the care and attention of a trained professional.

Choice D rationale

Directing the client to the shelter’s nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.

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Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.

Choice B rationale

A family planning center can offer important services, but it may not be the most urgent need for the entire community.

Choice C rationale

Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.

Choice D rationale

While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.

A. Do you have any discharge from the eye? B. Are all of your immunizations up-to-date? C. Have you started any new medications recently? D. How frequently do you wash your hands?

Correct Answer is A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.

Choice B rationale

While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.

Choice C rationale

Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.

Choice D rationale

Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.

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The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?

Correct Answer is C

Explanation

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.What is the most important for the clinic nurse to ask the client?

Correct Answer is A

Explanation

A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?

The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school.Which action should the nurse include to achieve this goal?

The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?

In the event of a communication breakdown during a disaster, what actions should be taken?

An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone.To which organization should the parish nurse refer this client?

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.