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 C

Explanation

A. A history of pelvic inflammatory disease (PID): While PID can cause pelvic pain, it is not specifically indicative of endometriosis. Endometriosis is a distinct condition with its own set of symptoms.
B. Abdominal bloating starting several days before menses: This symptom can occur with endometriosis, but it is not as specific as other symptoms.
C. Dysmenorrhea that is unresponsive to nonsteroidal anti-inflammatory drugs (NSAIDs): Endometriosis often presents with severe dysmenorrhea that does not respond well to NSAIDs. This is a classic symptom of endometriosis.
D. An atypical Papanicolaou (Pap) smear at her last clinic visit: An atypical Pap smear is more related to cervical abnormalities and is not a specific finding for endometriosis.

A. It typically does not metastasize. B. It is highly responsive to treatment. C. It is most common among men over 55 years. D. It is one of the least curable solid tumors.

Correct Answer is B

Explanation

A. It typically does not metastasize: Early-stage testicular cancer can metastasize if not treated promptly, so this statement is not accurate.
B. It is highly responsive to treatment: Early-stage testicular cancer is highly treatable, and many patients respond well to therapy, making this the correct statement.
C. It is most common among men over 55 years: Testicular cancer is most common among younger men, particularly between the ages of 15 and 35 years.
D. It is one of the least curable solid tumors: Testicular cancer, especially when detected early, is highly curable, so this statement is incorrect.

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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 in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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