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 is ambulatory and exhibits manic behavior.
A client who has superficial partial-thickness burn injuries over 5% of his body.
A client who has superficial partial-thickness burn injuries over 5% of his body.
The Correct Answer is A
The correct answer is Choice A because, a client who has a rigid abdomen with manifestations of shock. This client is showing signs of internal bleeding and hypovolemic shock, which is a medical emergency that requires immediate treatment to prevent further complications or death. Therefore, the priority should be given to this client.
Choice B is wrong because, a client who has a femur fracture with a 2+ pedal pulse, has a stable condition and can wait for treatment. Choice C is wrong because, a client who is ambulatory and exhibits manic behavior, is not a medical emergency and can wait for treatment. Choice D is wrong because, a client who has superficial partial-thickness burn injuries over 5% of his body, can wait for treatment as these injuries are not life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B because, "Teaching parenting techniques to new parents." This is the correct answer because it is a primary prevention strategy aimed at reducing violence and abuse in the local community.
Choice A is wrong because, "Providing treatment for a young adult who has a substance use disorder," is not the correct answer because it is a tertiary prevention strategy aimed at treating an individual after they have developed a substance use disorder.
Choice C is wrong because, "Conducting counseling for at-risk parents," is not the correct answer because it is a secondary prevention strategy aimed at reducing the risk of violence and abuse in families who are at-risk.
Choice D is wrong because, "Assessing a family for marital discord," is not the correct answer because it is a secondary prevention strategy aimed at identifying and addressing issues within a family, but it is not specifically related to violence and abuse.
Correct Answer is ["B","D","E"]
Explanation
The correct answers are Choice B, "I can receive care in the hospital or at home," Choice D, "I will receive care from a variety of interprofessional team members," and choice E, "I can discontinue hospice care whenever I want."
The client who has a terminal illness should understand that hospice care can be provided in the hospital or at home, that a variety of interprofessional team members will provide care, and that they can discontinue hospice care whenever they want. These answers are correct because they demonstrate an accurate understanding of hospice care.
Hospice care can be provided in a variety of settings, including the home or a hospital, and typically involves a team of healthcare professionals, such as doctors, nurses, social workers, and spiritual counselors, who work together to address the physical, emotional, and spiritual needs of the client and their family. Hospice care is focused on comfort and quality of life, rather than curative treatment, and clients can choose to discontinue care at any time.
Choice A is wrong because, "I will need to have private insurance because Medicare does not cover hospice services," is incorrect because Medicare does cover hospice services. Hospice care is a covered benefit under Medicare Part A, and most private insurance plans also cover hospice care.
Choice C is wrong because, "My provider will recommend that I enter hospice care when I have 1 year left to live," is incorrect because there is no set time frame for entering hospice care. Hospice care is appropriate for clients with a life expectancy of six months or less, as determined by their physician, but there is no requirement that clients must have one year left to live before entering hospice care.
The correct answers are B, D, and E because they accurately reflect the nature of hospice care and the options available to clients who are receiving this type of care.
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