Which action is the priority for the forensic nurse examiner (RN-FNE) when caring for a patient who was abducted and gang-raped and is now in serious condition in the emergency department?

Evaluating the patient's level of consciousness (LOC) using the Glasgow Coma Scale

Informing the patient that the RN-FNE cannot act on a patient's behalf

Monitoring vital signs, especially blood pressure and pulse

Assessing the patient's airway

Answer and Explanation

The Correct Answer is D

A. Evaluating the patient's level of consciousness using the Glasgow Coma Scale is important, but it is secondary to ensuring that the airway is open and that breathing is maintained.
B. Informing the patient that the RN-FNE cannot act on the patient's behalf is unnecessary at this point; the priority is immediate medical intervention.
C. Monitoring vital signs, such as blood pressure and pulse, is crucial but secondary to addressing immediate life-threatening conditions like airway compromise.
D. Assessing the patient's airway is the priority because airway compromise is the most critical issue in emergency care. The RN-FNE must stabilize the patient's airway first before proceeding with other assessments.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Documenting the patient's need for restraints is important but does not address the issue of restraining a competent patient against their will. This is an issue of patient rights and autonomy.
B. Not informing the patient is inappropriate, but the key issue is the lack of consent to be restrained, not just the failure to inform.
C. While failing to get a physician's order is critical for legal and safety reasons, the core issue here is the violation of the patient's autonomy and rights.
D. Restraining a competent patient against their will without consent is considered an intentional tort because it involves touching the patient in an unauthorized manner, which is a direct violation of their rights. This can result in legal action for assault or battery.

A. Sodium Bicarbonate B. Amiodarone C. Epinephrine D. Lidocaine

Correct Answer is C

Explanation

A. Sodium Bicarbonate is incorrect as it is not a first-line treatment for VF. It may be considered in cases of severe acidosis or hyperkalemia.
B. Amiodarone is incorrect as it is used as an antiarrhythmic, but epinephrine is administered first during cardiac arrest to increase perfusion.
C. Epinephrine is correct because it is the first-line drug given in ventricular fibrillation that persists after defibrillation. It increases coronary and cerebral perfusion and enhances the effectiveness of subsequent defibrillation attempts.
D. Lidocaine is incorrect as it is an antiarrhythmic that may be considered after epinephrine and amiodarone, but it is not the first choice.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which action is the priority for the forensic nurse examiner (RN-FNE) when caring for a patient who was abducted and gang-raped and is now in serious condition in the emergency department?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why is restraining a competent patient against his or her wishes considered an intentional tort?

Correct Answer is D

Explanation

The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

Correct Answer is C

Explanation

You are explaining the importance of strict intake and output for patients with pulmonary alterations. What is the rationale for careful intake and output for patients with pulmonary alterations?

The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

Which action is the priority for the forensic nurse examiner (RN-FNE) when caring for a patient who was abducted and gang-raped and is now in serious condition in the emergency department?

Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

Which patient finding supports the nurse's decision to place a patient in the urgent triage category?

Which ethical principle is most important when soliciting informed consent from a patient?

The nurse in the ED is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?