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.
A school-age client who has a head abrasion.
An older adult client who has a fractured arm.
The Correct Answer is A
An adult client who is short of breath should receive priority care because shortness of breath can be a sign of a life-threatening condition such as respiratory distress.
Choice B is incorrect because while an infant crying may indicate discomfort or distress, it is not necessarily a sign of a life-threatening condition.
Choice C is incorrect because while a head abrasion may require medical attention, it is not necessarily a life-threatening condition.
Choice D is incorrect because while a fractured arm may require medical attention, it is not necessarily a life-threatening condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
The correct answers are A. “I can discontinue hospice care whenever I want.”, B. “I can receive care in the hospital or at home.”, and D. “I will receive care from a variety of interprofessional team members.”
Choice A rationale:
Clients have the right to discontinue hospice care at any time if they choose to pursue curative treatments or if their condition improves.
Choice B rationale:
Hospice care can be provided in various settings, including the client’s home, a hospital, a nursing home, or a hospice facility.
Choice C rationale:
This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.
Choice D rationale:
Hospice care involves a multidisciplinary team approach, including doctors, nurses, social workers, chaplains, and other professionals to address the holistic needs of the patient.
Choice E rationale:
Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.
Correct Answer is A
Explanation
A stoma that turns dark red, purple, or even black in color can be a sign of a problem with blood supply to the stoma 1. This can be a serious issue that requires immediate medical attention.
Choice B is not the correct answer because an oxygen saturation of 90 for a client with COPD is within an acceptable range.
Choice C is not the correct answer because feeling a vibration in a new internal arteriovenous graft for dialysis is not necessarily a cause for immediate concern.
Choice D is not the correct answer because vomiting after a dose of methylphenidate may be a side effect of the medication and may not require immediate attention.
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