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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. A high fat, low carbohydrate formula is most appropriate for patients with poorly controlled diabetes mellitus, as it helps stabilize blood glucose levels while still providing necessary nutrition.
B. A concentrated calorie formula may not be appropriate for this patient as it could lead to hyperglycemia due to increased glucose intake.
C. Whole proteins and glucose polymers might increase the glucose load and exacerbate poor blood sugar control.
D. While low sodium is important for many conditions, it is not the primary concern for managing poorly controlled diabetes mellitus in the context of enteral nutrition.

A. Have the client deep breathe and hold B. Assist the client to ambulate on the nursing unit C. Encourage the client to watch television D. Apply ice to the incision site for 30 minutes

Correct Answer is A

Explanation

A. Deep breathing and holding can help relax the patient, reduce pain perception, and enhance the effects of opioid medications.
B. Ambulating may be appropriate but should be done carefully, as it could exacerbate pain or cause dizziness after opioid administration.
C. While distraction like watching TV can help manage pain, it is not as effective as active pain-relieving interventions like deep breathing.
D. Applying ice to the incision site can be helpful for pain management, but deep breathing is more directly beneficial for managing postoperative pain.

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 patient situation will be classified in the emergent triage category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with poorly controlled diabetes mellitus is to be started on enteral tube feeding. What type of formula would be most appropriate?

Correct Answer is A

Explanation

The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Correct Answer is A

Explanation

What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)

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?

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

A patient is admitted with acute liver failure and encephalopathy. Which dietary restrictions should be maintained for the patient?

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

Patients with coronary artery disease should be taught about cholesterol. Which situation is most desirable?

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?

A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?