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 superficial partial-thickness burn injuries over 5% of his body.
A client who is ambulatory and exhibits manic behavior.
A client who has a rigid abdomen with manifestations of shock.
A client who has a femur fracture with a 2+ pedal pulse.
The Correct Answer is C
This indicates that the client may have internal bleeding, which is a life-threatening condition that requires immediate medical attention. The nurse should provide supportive care, such as administering oxygen, and arrange for rapid transport to a trauma center.
The client with superficial partial-thickness burn injuries over 5% of his body may require medical attention, but this is not immediately life-threatening.
The client who is ambulatory and exhibits manic behavior may require psychological support, but this is not a priority in the acute phase of a traumatic event.
The client who has a femur fracture with a 2+ pedal pulse may require immobilization and pain management, but this is also not a priority in the acute phase of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Before discussing specific aspects of the client's care, the nurse should assess the client's living environment to determine if it is suitable for the client's needs. In this case, the client requires a special bed to manage the pressure injury, so the nurse should assess if the client's current living environment can accommodate this need.
If the client's current living environment is not suitable, the nurse can work with the client and their family to identify alternatives, such as modifying the current environment or finding a new living arrangement. Once the nurse has assessed the living environment, they can proceed to discuss specific aspects of the client's care, such as accessing supplies, nutrition, and wound care.
Correct Answer is B
Explanation
Hepatitis A is primarily transmited through the fecal-oral route, meaning that the virus is present in the stool of infected individuals and can be spread through contaminated food, water, or surfaces. Therefore, the reservoir for hepatitis A is the gastrointestinal tract of infected individuals, specifically their feces.
Blood (A) is not a reservoir for hepatitis A, as the virus is not typically present in the blood.
The genitourinary tract (C) and skin (D) are also not reservoirs for hepatitis A, as the virus is not typically present in these areas.
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