A nurse is participating in a disaster drill by triaging clients. Which of the following clients should the nurse place in the emergent category?

A client who has a scalp laceration and is bleeding heavily

A client who reports chest pain and is diaphoretic

A client who has an open humerus fracture

A client who reports severe itching on the chest

Answer and Explanation

The Correct Answer is B

Rationale:
A. A scalp laceration with heavy bleeding is urgent, but bleeding can often be controlled quickly; not immediately life-threatening once managed.
B. Chest pain with diaphoresis suggests myocardial infarction (MI) or another life-threatening cardiac condition → emergent priority because it requires immediate intervention to preserve life.
C. An open humerus fracture is urgent, but not typically immediately life-threatening.
D. Severe itching is nonurgent, not life-threatening at all.

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Correct Answer is B

Explanation

Rationale:
A. Suggesting that a client’s partner attend a support group is supportive, but it is not an example of advocacy, which focuses on acting in the client’s best health interest.
B. Advocacy means speaking up for and protecting the client’s rights and needs. Recommending a referral for physical therapy ensures the client receives necessary services to support recovery.
C. Evaluating a client’s home for safety hazards is an example of beneficence and safety promotion, not advocacy.
D. Completing an incident report is part of accountability and quality improvement, but it does not represent advocacy for the client.

A. Document assessment data. B. Review the client's new laboratory values. C. Complete required tasks. D. Determine client care goals.

Correct Answer is D

Explanation

Rationale:
A. Documenting assessment data is important but should follow planning and prioritization of care.
B. Reviewing new laboratory values is necessary for informed care but is part of the assessment and planning process, not the first step.
C. Completing required tasks without prioritization can lead to inefficient use of time and missed critical care.
D. Determining client care goals allows the nurse to prioritize tasks and plan the shift effectively, making it the first and most important step in time management.

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A nurse is participating in a disaster drill by triaging clients. Which of the following clients should the nurse place in the emergent category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy?

Correct Answer is B

Explanation

A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

Correct Answer is D

Explanation

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