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 rigid abdomen with manifestations of shock
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
The Correct Answer is A
The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client can choose a non-family member as the designated power of attorney. A durable power of attorney for healthcare is a legal document that designates a person to make healthcare decisions on behalf of the client if they become unable to do so. The client can choose any competent adult as their designated power of attorney, not just a family member. The living will is a legal document that outlines a client's wishes for end-of-life care, but it is not a contract between the client and provider. The family does not have the authority to revoke a do-not-resuscitate order at any time, and the client cannot verbally choose a health care proxy.
Correct Answer is B
Explanation
The correct answer is choice B, "Educate children at a day care center about nutrition and exercise." Primary prevention strategies aim to prevent the occurrence of a health problem before it happens. Educating children about healthy eating habits and regular exercise can help prevent obesity from developing in the first place. This is a more effective strategy than simply measuring the BMI of older adults, distributing health-risk appraisal questionnaires, or encouraging enrollment in weight-reduction programs.
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