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 {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Blank 1

Prepare for defibrillation: The client is unresponsive and has ventricular tachycardia. This indicates a life-threatening arrhythmia. If a patient with VTach is pulseless, the treatment is defibrillation.

Blank 2

Vtach (Ventricular tachycardia): The ECG tracing shows a rapid, wide-complex tachycardia, which is the hallmark of ventricular tachycardia.

A. The patient's head should remain elevated at 45 degrees to avoid aspiration. B. TPN is preferred over the use of enteral feeding to avoid the complication of aspiration. C. Lipid intake should be maintained at greater than 2 g/kg/day. D. Excessive calorie intake can cause an increase in PaCO2

Correct Answer is D

Explanation

A. The head of the bed should be elevated to at least 30 degrees to reduce the risk of aspiration, not 45 degrees.
B. Enteral feeding is typically preferred over TPN because it preserves gut integrity and reduces the risk of complications such as infections.
C. Lipid intake should generally be monitored and controlled, but greater than 2 g/kg/day is not recommended and may lead to complications such as hyperlipidemia.
D. Excessive calorie intake, particularly from carbohydrates, can increase carbon dioxide production, leading to a rise in PaCO2 levels in mechanically ventilated patients.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate actiondropdown. What is the heart rhythmdropdown

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Explanation

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