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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
The correct answer is choices C, D, and E. Hospice care is a type of healthcare that focuses on improving the quality of life for individuals who have a terminal illness. Patients who receive hospice care have the option to discontinue this service whenever they want. Hospice care can be provided at home, hospital, or any other place that the patient calls home. In addition, hospice care involves a team of interprofessional team members, such as nurses, social workers, chaplains, and counselors, who provide care to the patient and their family. Hospice care is covered by Medicare, and the patient doesn't need private insurance to receive hospice services. Patients are recommended for hospice care when they have a life expectancy of 6 months or less.
Correct Answer is D
Explanation
Hemianopsia is a visual field defect in which there is a loss of vision in one-half of the visual field. It can be caused by a number of conditions, including stroke, brain tumors, and traumatic brain injury. It is a significant finding that requires immediate reporting to the provider, as it can indicate a serious underlying condition that requires further evaluation and treatment. Hemianopsia can significantly impact a client's ability to perform activities of daily living, mobility, and safety. Conjunctivitis is inflammation of the conjunctiva, which can cause redness, itching, and discharge. While it is important
to assess and treat conjunctivitis, it is not a priority finding that requires immediate reporting to the provider. Increased sensitivity to glare is a common age-related change in vision, and while it can be bothersome, it is not typically a priority finding that requires immediate reporting to the provider. Decreased near vision is another common age-related change in vision, and while it can be an important finding to address with the client, it is not typically a priority finding that requires immediate reporting to the provider.
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