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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Insulin can be added to the TPN to control blood sugar levels. TPN often leads to hyperglycemia, and insulin is commonly added to the solution to regulate glucose levels.
B. Discontinuing the infusion would not address the hyperglycemia and would risk nutrient deficiencies.
C. Weaning from TPN may be indicated when discontinuing the nutrition support, but it is not a direct intervention for hyperglycemia.
D. Starting an infusion of 0.9% normal saline would not address the hyperglycemia directly and may not be effective in managing the glucose levels.
Correct Answer is C
Explanation
A. Low levels of both HDL and LDL cholesterol is not desirable as low levels of HDL cholesterol are associated with a higher risk for heart disease.
B. Low levels of high-density lipoprotein (HDL cholesterol) are undesirable because HDL helps remove excess cholesterol from the bloodstream, and lower levels increase the risk of cardiovascular disease.
C. Low levels of low-density lipoprotein (LDL cholesterol) is the most desirable situation. Lower LDL levels reduce the risk of atherosclerosis and heart disease, making it important to lower these levels in patients with coronary artery disease.
D. Hypocholesterolemia (abnormally low cholesterol levels) is not typically targeted as a treatment goal and can be harmful in some situations, as cholesterol is essential for many bodily functions.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.