A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
A client who has a femur fracture with a 2+ pedal pulse
A client who has superficial partial-thickness burn injuries over 5% of his body
A client who is ambulatory and exhibits manic behavior
A client who has a rigid abdomen with manifestations of shock
The Correct Answer is D
A. A femur fracture with a 2+ pedal pulse indicates adequate circulation and is not immediately life-threatening.
B. Superficial burns, while painful, are not immediately life-threatening unless covering a significant portion of the body.
C. Ambulatory with manic behavior suggests psychological distress but not immediate life-threatening physical condition.
D. A rigid abdomen with signs of shock indicates potential internal bleeding or organ injury requiring immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Flea bites are a common way the plague is transmitted, particularly in areas where the disease is endemic. The client's description of flea bites supports this mode of transmission.
B. While myalgia (muscle pain) can occur in many infectious diseases, it is a nonspecific symptom and does not specifically indicate the plague. Many other conditions can also present with muscle aches, so this symptom alone is not indicative of the plague.
C. A fever is common in many types of infections and is not specific to the plague. The presence of a fever alone does not distinguish the plague from other infectious diseases. It must be considered along with more specific symptoms and history.
D. Tender, inguinal lymphadenitis (swollen and painful lymph nodes) is a characteristic sign of bubonic plague, indicating infection and inflammation.
E. Recent travel to South Asia, where the plague is more prevalent, increases the likelihood of exposure to the pathogen. This travel history is a significant risk factor for infection.
Correct Answer is D
Explanation
A. Bruises on both knees can be common in active children and do not necessarily indicate maltreatment.
B. A toothache alone is not an indication of maltreatment.
C. Receiving free lunches is related to socioeconomic status and does not indicate maltreatment.
D. The recent onset of urinary incontinence, particularly if it was not previously an issue, can be a sign of stress or trauma, which warrants further investigation for possible maltreatment.
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