A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Respond to family members about a client's condition.
Determine which clients should be seen first.
Clean and dress client abdominal wounds.
Take vital signs on clients as they are admitted.
The Correct Answer is D
Choice A reason: Responding to family requires clinical judgment and communication skills beyond AP scope. Nurses handle this in mass casualty for accuracy.
Choice B reason: Triage prioritization needs nursing assessment skills, not AP training. Determining care order is a licensed responsibility in emergencies like this.
Choice C reason: Cleaning and dressing wounds involves sterile technique and assessment, outside AP scope. Nurses perform this in mass casualty settings.
Choice D reason: Taking vital signs is within AP scope, providing data for nurse triage. It’s a routine task, safely assigned in a mass casualty event.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Voice alteration isn’t linked to ECT; it affects brain function, not vocal cords. Post-procedure, neurological effects dominate, not laryngeal changes.
Choice B reason: Neck pain may occur from positioning, but it’s not a primary ECT reaction. Muscle relaxants minimize strain, making this less common.
Choice C reason: Scalp tingling could stem from electrodes, but it’s rare and minor. ECT’s electrical impact targets memory and mood, not sensory nerves.
Choice D reason: Temporary memory loss is a well-documented ECT side effect, from disrupted hippocampal function. It’s expected, often resolving, and key to inform clients.
Correct Answer is D
Explanation
Choice A reason: Exchange transfusion treats severe conditions like hyperbilirubinemia, not HIV. It’s irrelevant for a 10-month-old’s ongoing viral management needs.
Choice B reason: Granulocyte colony-stimulating factor boosts neutrophils, not lymphocytes, in neutropenia. HIV targets CD4 cells, making this an ineffective intervention here.
Choice C reason: Droplet precautions suit respiratory infections, not HIV, which spreads via blood/body fluids. Standard precautions suffice, so this isn’t needed.
Choice D reason: Monitoring lymphocyte (CD4) count tracks HIV progression in infants. It guides antiretroviral therapy, a critical ongoing management step at 10 months.
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