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 A
Explanation
Choice A rationale:
Abstract thinking develops during the formal operational stage of Piaget's cognitive development theory. This stage typically occurs in adolescence and beyond. During this stage, individuals can think abstractly, solve complex problems, and reason about hypothetical situations. They can also engage in deductive reasoning, which allows them to think logically and systematically.
Choice B rationale:
The concrete operational stage in Piaget's theory, not the formal operational stage, is characterized by the development of logical thinking and operational thought. It typically occurs in children aged 7 to 11 and is marked by the ability to think logically about concrete events and objects.
Choice C rationale:
The sensorimotor stage is the earliest stage in Piaget's theory, occurring in infants from birth to about 2 years old. This stage is characterized by sensory and motor exploration of the environment, and abstract thinking has not yet developed at this stage.
Choice D rationale:
The preoperational stage in Piaget's theory, which typically occurs in children aged 2 to 7, is marked by the development of symbolic thought and language. However, abstract thinking is not a characteristic of this stage.
Correct Answer is B
Explanation
Choice A rationale:
"The use of social media is not included in the COE.”. This statement is not accurate. The use of social media is addressed in the Code of Ethics (COE) for nurses. The COE provides guidance on how nurses should maintain professional boundaries and ethical behavior in the digital age, which includes considerations for social media use.
Choice B rationale:
"Professional expectations are included in the COE.”. This statement is correct. The Code of Ethics (COE) for nurses outlines the professional expectations and standards that nurses are expected to adhere to. It provides guidance on ethical conduct, accountability, and the responsibilities of nurses in their practice.
Choice C rationale:
"Student nurses are not held accountable to COE.”. This statement is not accurate. Student nurses are expected to adhere to the same ethical standards outlined in the Code of Ethics (COE) as registered nurses. While there may be some variations in practice expectations based on the level of training, ethical principles apply to all nurses, including student nurses.
Choice D rationale:
"Criteria for obtaining licensure is included in the COE.”. This statement is not accurate. The Code of Ethics (COE) primarily focuses on ethical principles, professional behavior, and the responsibilities of nurses in their practice. It does not typically include criteria for obtaining licensure, as licensure requirements are determined by licensing boards and regulatory bodies.
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