Which patient problems are most commonly encountered by the health care team in the emergency department? Select all that apply

Fever

Headache

Suspected poisoning

Chest pain

Abdominal pain

Answer and Explanation

Correct Answer : C,D,E

A. While fever is a common symptom, it is usually a secondary complaint or part of an underlying condition rather than a primary reason for emergency department (ED) visits. Patients with fever alone often seek primary care unless it is associated with severe infection or sepsis.

B. Headaches are common in the general population, but only severe or acute-onset headaches are typical ED presentations. Routine or mild headaches are usually managed in outpatient settings.

C. Poisonings, overdoses, and exposure to toxic substances are urgent issues that require immediate assessment and intervention in the ED. These cases frequently demand rapid evaluation, monitoring, and sometimes antidote administration.

D. Chest pain is a common and critical complaint in the ED because it may indicate life-threatening conditions such as myocardial infarction, pulmonary embolism, or aortic dissection. It is prioritized for immediate assessment and intervention.

E. Abdominal pain is one of the most frequent reasons for ED visits, ranging from minor issues to surgical emergencies such as appendicitis, bowel obstruction, or perforated ulcers. Prompt evaluation is essential to identify life-threatening conditions.

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Correct Answer is D

Explanation

A. Enoxaparin is a low molecular weight heparin (LMWH)and should never be given intramuscularlybecause IM injections increase the risk of hematoma formation. It is administered subcutaneously.

B. Vitamin K is the antidote for warfarin, not enoxaparin. For LMWH, protamine sulfateis used to reverse anticoagulation if needed.

C.Routine monitoring of aPTT is not required with LMWHlike enoxaparin because it has a predictable anticoagulant effect. Monitoring is typically reserved for special populations, such as renal impairment or obesity.

D. Enoxaparin carries a risk of heparin-induced thrombocytopenia (HIT), a potentially life-threatening complication. Platelet counts should be monitored regularly, especially during the first 2 weeks of therapy, to detect early thrombocytopeniaand prevent complications.

A. Administer prescribed antibiotics. B. Obtain blood cultures and other labs. C. Insert an indwelling urinary catheter. D. Initiate intravenous fluid resuscitation.

Correct Answer is D

Explanation

A. While antibiotics are essential to treat the infection, the client is showing signs of septic shock(hypotension, tachycardia, tachypnea, hypoxemia). Antibiotics alone will not immediately stabilize the patient’s circulatory compromise. Early fluid resuscitation takes priority to restore perfusion.

B. Blood cultures are necessary for guiding antibiotic therapy and identifying pathogens, but obtaining labs does not address the immediate hemodynamic instability. Delaying resuscitation while awaiting lab results can worsen organ perfusion.

C. Catheterization may be useful for monitoring urine output, which reflects perfusion, but it is not the first intervention. Immediate stabilization of blood pressure and circulation takes precedence.

D. The client’s low blood pressure (92/44), tachycardia (HR 134), tachypnea (RR 26), and hypoxemia (SpO2 90%)indicate septic shock with hypoperfusion. Rapid IV fluid administration (usually isotonic crystalloids) is the priority interventionto restore circulating volume, improve tissue perfusion, and prevent progression to multi-organ dysfunction.

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Which patient problems are most commonly encountered by the health care team in the emergency department? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with pulmonary embolism who is receiving enoxaparin. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

A 39-year-old client is admitted with a severely abscessed tooth. The nurse assess vital signs of BP 92/44, HR 134, RR 26, Spo2 90% on room air, temperature 38.9° C. What is the priority nursing intervention?

Correct Answer is D

Explanation

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Which statement describes the concept of scene safety in trauma situations?

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The nurse is caring for a client in the emergency room who has been diagnosed with shock. The client has a history of an abscessed tooth that has not yet been removed. Which type of shock does the nurse suspect?

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