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. Hemorrhage: This is the priority complication to monitor for in the immediate postoperative period after a transurethral resection of the prostate (TURP). Hemorrhage can lead to significant blood loss and requires prompt intervention.
B. Pain: While pain management is important, it is not the immediate priority compared to the risk of hemorrhage in the postoperative setting.
C. Urinary retention: Although important to monitor, urinary retention is a common postoperative issue but does not pose the same immediate risk as hemorrhage.
D. Infection: Infection is a concern but typically develops later in the postoperative period and is not as immediate a risk as hemorrhage.

A. Rub the skin completely dry following a decontamination shower. B. Prepare to administer amyl nitrate. C. Provide respiratory support with a plastic airway. D. Initiate seizure precautions.

Correct Answer is D

Explanation

A. Rub the skin completely dry following a decontamination shower: This is incorrect. The skin should be patted dry, not rubbed, to avoid further irritation.
B. Prepare to administer amyl nitrate: This is incorrect. Amyl nitrate is used for cyanide poisoning, not sarin gas exposure.
C. Provide respiratory support with a plastic airway: While respiratory support may be needed, the priority in sarin gas exposure involves addressing symptoms and potential seizures.
D. Initiate seizure precautions: Sarin gas is a nerve agent that can cause seizures due to its effect on the nervous system. Seizure precautions are necessary for clients exposed to sarin gas.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which postoperative complication is the priority for the nurse to monitor?

Correct Answer is A

Explanation

A nurse working in an emergency department is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take?

Correct Answer is D

Explanation

A public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about early stage testicular cancer?

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