Which patient situation will be classified in the emergent triage category?

A minor who is experiencing acute pain in the abdomen and labia after rape

A postmenopausal woman who has bruises on the genitalia

A sexually assaulted patient who has multiple facial fractures

A rape victim who has an active hemorrhage in the abdomen

Answer and Explanation

The Correct Answer is D

A. A minor with acute pain is incorrect because while urgent, it does not pose an immediate life-threatening risk and would likely fall into the urgent category.
B. A postmenopausal woman with bruising is incorrect because bruising alone does not indicate an immediate life-threatening condition and would be categorized as non-urgent.
C. A sexually assaulted patient with multiple facial fractures is incorrect because while serious, it is not immediately life-threatening and would likely be categorized as urgent.
D. A rape victim with active hemorrhage in the abdomen is correct because uncontrolled bleeding is life-threatening and requires immediate intervention, placing this patient in the emergent category.

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Correct Answer is D

Explanation

A. Elevated ST segment is typically seen with conditions like pericarditis or acute myocardial injury, not hypokalemia.
B. Wide QRS could be related to various conditions, including bundle branch block or electrolyte disturbances, but it is not specifically indicative of hypokalemia.
C. Inverted P wave could be due to atrial arrhythmias but is not a hallmark of hypokalemia.
D. Abnormally prominent U wave is a classic sign of hypokalemia and is often seen following the T wave on an EKG.

A. Placing the patient in prone position to improve draining from mouth B. Checking to make sure the tracheostomy cuff is inflated during tube feedings C. Placing the patient in the right lateral decubitus position to promote gastric emptying D. Discussing the use of metoclopramide to facilitate gastric motility with the practitioner

Correct Answer is B

Explanation

A. The prone position is not recommended for managing tube feeding regurgitation, as it could lead to aspiration into the lungs.
B. The first priority is to ensure that the tracheostomy cuff is inflated during tube feedings to prevent aspiration and to ensure that the feeding is directed into the stomach and not into the airway.
C. The lateral decubitus position can help with gastric emptying, but the priority is to ensure proper cuff inflation to prevent aspiration.
D. While metoclopramide may help with gastric motility, the immediate concern is managing the risk of aspiration, which requires confirming cuff inflation.

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Which patient situation will be classified in the emergent triage category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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