A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?
A client who reports flank pain radiating to the groin
A client who has multiple fractures
A client with partial thickness burns to both hands
A client who has a punctured femoral artery
The Correct Answer is D
A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary output: While important, urinary output is not the immediate priority over assessing vital signs and consciousness.
B. Blood pressure: This is the priority assessment post-operatively to monitor for signs of bleeding, shock, or other complications.
C. Pain level: Pain management is important but secondary to ensuring stable hemodynamics immediately post-surgery.
D. Level of consciousness: This is also crucial, but monitoring blood pressure is a more direct indicator of immediate postoperative stability and potential complications.
Correct Answer is A
Explanation
A. "I can detect the presence of carbon monoxide by a metallic odor." This is incorrect. Carbon monoxide is odorless, colorless, and tasteless, making it undetectable by smell.
B. "A high concentration of carbon monoxide can cause unconsciousness." This is correct. High levels of carbon monoxide can lead to serious symptoms including loss of consciousness.
C. "Breathing in carbon monoxide can cause headaches and nausea." This is correct. Symptoms of carbon monoxide poisoning include headaches, nausea, and dizziness.
D. "Leaky gas or oil furnaces can cause carbon monoxide poisoning." This is correct. Faulty or leaky heating systems can be a source of carbon monoxide exposure.
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