A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care?
An adult client who is short of breath.
An infant client who is crying.
An older adult client who has a fractured arm.
A school-age client who has a head abrasion.
The Correct Answer is A
The correct answer is Choice A because, "An adult client who is short of breath." Shortness of breath may indicate a life-threatening condition that requires immediate medical attention. The other clients should also receive care as soon as possible, but the client who is short of breath should be the priority.
Choice B is wrong because, "An infant client who is crying," is not the correct answer because crying is a normal behavior for infants and does not necessarily indicate a lifethreatening condition.
Choice C is wrong because, "An older adult client who has a fractured arm," is not the correct answer because a fractured arm is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.
Choice D is wrong because, "A school-age client who has a head abrasion," is not the correct answer because a head abrasion is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.
Choice A is An extension cord extends across the floor of the living room presents a trip hazard.
Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.
Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.
Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.
Option E: Carpeted floors are not a safety hazard.
Correct Answer is A
Explanation
The correct answer is Choice A because "Assess the client's need for wound care supplies." Planning for wound care supplies is essential for a client who has a major burn injury. Wound care is crucial to prevent complications such as infection, and the case manager must ensure that the client has access to the appropriate wound care supplies.
Choice B is wrong because, "Provide physical and occupational therapy for the client in her home," is not the correct answer because physical and occupational therapy are interventions provided by therapists and not case managers. Choice C is wrong because, "Deliver family counseling to members of the client's household," is an example of psychosocial support and is not the primary responsibility of the case manager. Choice D is wrong because, "Administer personal care with bathing, dressing, and meal preparation for the client," is an intervention that is typically provided by home health aides and not case managers.
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