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 B
Explanation
A. Hearing screenings are recommended every 3 years for adults over 50, not every 5 years.
B.
The American Cancer Society recommends that adults aged 50 to 75 get screened for colorectal cancer. One option for screening is a stool test for blood every other year. If the test is positive, a colonoscopy should be performed.
C. Eye examinations canhelp detect vision changes and eye diseases early. However, this should be done yearly.
D. Fasting blood glucose levels should be checked more frequently, especially if there are risk factors for diabetes.
Correct Answer is C
Explanation
A. Teaching family members wound care involves patient education but does not provide feedback on care quality.
B. Organizing a staff event aims to improve morale and teamwork but does not directly assess care quality.
C. Tracking readmission rates provides direct feedback on the effectiveness of postoperative care.
D. Orienting staff to equipment is important but does not directly provide feedback on care quality.
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