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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Flu-like symptoms: This is correct. Inhalation anthrax initially presents with flu-like symptoms, including fever, cough, and malaise. This early presentation can progress to severe respiratory distress and systemic illness.
B. Vesicles on the skin: This is incorrect. Vesicular lesions are more characteristic of diseases such as smallpox or chickenpox, not anthrax.
C. Respiratory failure: While respiratory failure can occur with advanced inhalation anthrax, it is a later-stage complication rather than an initial finding.
D. Flaccid paralysis: This is incorrect. Flaccid paralysis is not a typical symptom of anthrax exposure but may be associated with diseases such as botulism.

A. "It provides an area where clients can be provided a shower and privacy." B. "It provides a centralized area for the triage of all clients as they arrive to the facility." C. "It prevents secondary contamination to the facility and its healthcare providers." D. "It serves as a holding area that isolates the clients who have been exposed to the agent."

Correct Answer is C

Explanation

A. "It provides an area where clients can be provided a shower and privacy." This is incorrect. While decontamination areas may include showers for client decontamination, the primary rationale is more focused on preventing contamination rather than providing privacy.
B. "It provides a centralized area for the triage of all clients as they arrive to the facility." This is incorrect. Centralized triage is important but not the primary reason for a decontamination area.
C. "It prevents secondary contamination to the facility and its healthcare providers." This is correct. The primary rationale for a designated decontamination area is to prevent secondary contamination of the facility and its personnel by removing contaminants from individuals before they enter the healthcare environment.
D. "It serves as a holding area that isolates the clients who have been exposed to the agent." This is incorrect. Isolation may be a component, but the main purpose of decontamination is to prevent contamination spread.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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