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 B

Explanation

Choice A rationale:

Encouraging family members to call the client is a valuable emotional and social support, but it may not be as effective in reducing social isolation for a client at the end of life. While communication with loved ones is important, it may not fully address the client's need for personal interaction.

Choice C rationale:

Instructing the client to join an online support group can be a useful intervention to reduce social isolation, especially in cases where physical interaction is limited. However, it may not be as effective for all clients, as comfort with technology and online groups can vary. Additionally, it should be one of several strategies used to address social isolation.

Choice D rationale:

Asking the client's friends to text the client is a positive gesture, but it may not be as effective as scheduling home visits with the client. Text messages may not provide the same level of personal interaction and emotional support that physical visits can offer.

Choice B rationale:

Scheduling home visits with the client is the most effective intervention to reduce social isolation in a client at the end of life. It allows for in-person interaction, emotional support, and the opportunity to address the client's physical and emotional needs directly. Face-to-face contact can significantly improve the client's sense of connectedness and reduce feelings of isolation.

A. Providers can send prescriptions to a pharmacy on an unencrypted device. B. Electronic communication includes video conference calls with clients. C. Electronic communication does not have a risk of privacy violations. D. Social media is not a form of electronic communication.

Correct Answer is B

Explanation

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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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?