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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Regulates and monitors laws set by the Nurse Practice Act. B. Establishes a protocol for care to provide for a specific health problem. C. Promotes excellence in nursing education. D. Determines competencies for the nurses to achieve before licensure.

Correct Answer is A

Explanation

Choice A rationale:

The role of the Board of Nursing (BON) includes regulating and monitoring laws set by the Nurse Practice Act. The BON ensures that nurses practice within the legal framework established by the state's Nurse Practice Act, which defines the scope of nursing practice, licensing requirements, and standards of care. This helps maintain the safety and quality of nursing care in the state.

Choice B rationale:

Establishing a protocol for care to provide for a specific health problem is typically not within the role of the Board of Nursing (BON). The BON focuses on setting and enforcing broader standards of nursing practice and licensure requirements, rather than creating specific protocols for individual health problems. Protocols are often developed by healthcare institutions or professional organizations.

Choice C rationale:

Promoting excellence in nursing education is an important goal, but it is not the primary role of the Board of Nursing (BON). While the BON may have some involvement in accrediting nursing education programs, its primary responsibility is to regulate nursing practice and ensure public safety through licensing and adherence to the Nurse Practice Act.

Choice D rationale:

Determining competencies for nurses to achieve before licensure is a role of the Board of Nursing (BON). The BON sets the standards and requirements that nurses must meet to become licensed, which includes establishing the necessary competencies and qualifications. This helps ensure that nurses entering the profession are adequately prepared to provide safe and competent care.

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A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

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A nurse in an emergency department is performing triage on a group of clients.
Which of the following clients should the nurse see first?