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 A
Explanation
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.
Correct Answer is D
Explanation
The correct answer is Choice A because, Double-bag soiled dressings in polyethylene bags. The nurse should double-bag soiled dressings in polyethylene bags to contain the infection and prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA). The bags should be securely tied and labeled as contaminated.
Choice B is wrong because, Encourage the client to use a HEPA filter in the house, is not the correct answer because a HEPA filter is not effective in controlling the spread of MRSA.
Choice C is wrong because, Wear a mask when within 3 feet of the client, is not the correct answer because wearing a mask is not necessary unless the nurse is providing direct care to the client and is within 3 feet of them.
Choice D is wrong because, Remove fresh flowers from the client's home, is not the correct answer because fresh flowers are not a source of MRSA.
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