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 D
Explanation
The correct answer is Choice D because, "Perform a needs assessment." Before developing a mobile meal program, the nurse should assess the needs of the older adults in the community to determine the appropriate services to provide. Inquiring about the availability of volunteers (Choice A is wrong because), identifying alternative solutions (Choice B is wrong because), and determining potential funding sources (Choice C is wrong because) are important steps, but they should be taken after performing a needs assessment.
Choice A is wrong because: Inquiring about the availability of volunteers should be done after performing a needs assessment.
Choice B is wrong because: Identifying alternative solutions to address concerns should be done after performing a needs assessment.
Choice C is wrong because: Determining potential funding sources for the program should be done after performing a needs assessment.
Choice D is wrong because: Performing a needs assessment is the first step in developing a mobile meal program.
Correct Answer is B
Explanation
The correct answer is Choice B because "Provide a smoking cessation class." Secondary prevention activities aim to detect and treat a disease in its early stages. In the case of smoking cessation classes, it is a secondary prevention activity because it aims to detect and treat the harmful effects of smoking before it progresses to a more serious condition such as lung cancer or chronic obstructive pulmonary disease.
Choice A is wrong because, "Advocate for laws that prohibit texting while driving," is not the correct answer because it is an example of primary prevention, which aims to prevent the onset of a disease or injury. Choice C is wrong because, "Refer a client who is recovering from a substance use disorder to a social service program," is an example of tertiary prevention, which aims to prevent complications or further progression of a disease. Choice D is wrong because, "Encourage a pregnant client to participate in prenatal care," is also an example of primary prevention, which focuses on preventing the onset of a disease or condition.
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