A nurse in an emergency department is performing triage on a group of clients.
Which of the following clients should the nurse see first?
A client who has heart failure and peripheral edema.
A client who has cirrhosis of the liver and bruising on their arms.
A client who reports urinary burning and a temperature of 39.2° C (102.5° F).
A client who has a new onset of atrial fibrillation and a heart rate of 152/min.
The Correct Answer is D
Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm.
While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Material safety data sheets (MSDS) primarily contain information related to hazardous chemicals and substances used in healthcare settings. While MSDS can be valuable for safety purposes, they do not provide comprehensive information on specimen collection protocols. Therefore, MSDS is not the most appropriate source for revising the specimen collection protocol.
Choice B rationale:
Client medical records are essential for individual patient care and documentation. However, they do not contain the information needed to revise the protocol for specimen collection on the unit. Medical records are specific to individual patient histories, diagnoses, and treatments, and do not address broader unit-wide protocols.
Choice C rationale:
Facility policy and procedures are the most appropriate source for retrieving information to revise the protocol for specimen collection on the unit. These policies and procedures are specifically designed to guide healthcare providers in delivering safe and effective care within the facility. They encompass standardized protocols for various clinical procedures, including specimen collection, making them the ideal source for the nurse's research.
Choice D rationale:
Evidence-based practice (EBP) involves using the best available research evidence, clinical expertise, and patient values to guide healthcare decisions. While EBP is crucial in healthcare, it is not the primary source for revising unit-specific protocols. EBP provides a broader framework for making clinical decisions but may not cover the specific policies and procedures unique to the facility.
Correct Answer is B
Explanation
Choice A rationale:
SDOH are not determined by an individual's ethnic background. SDOH encompass a wide range of factors beyond ethnicity that affect an individual's well-being, including social, economic, and environmental factors.
Choice B rationale:
SDOH are conditions in an individual's environment that affect their well-being. This is the correct answer. Social Determinants of Health (SDOH) refer to the conditions in which people are born, grow, live, work, and age, and how these conditions impact their physical and mental well-being. These conditions include factors such as income, education, employment, social support, and access to healthcare.
Choice C rationale:
Identifying SDOH does not increase disparities in healthcare. In fact, recognizing and addressing SDOH can help reduce health disparities by providing more equitable access to resources and services for underserved populations.
Choice D rationale:
While psychological factors can be important determinants of health, they are not typically considered part of the social determinants of health. SDOH primarily focus on external factors related to an individual's environment and socioeconomic conditions.
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