A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?

Maintaining a client tracking system

Performing concise client assessment

Preventing cross-contamination of clients

Transferring a client to the discharge location

Answer and Explanation

The Correct Answer is D

Rationale:

A. Maintaining a client tracking system is crucial for managing large numbers of clients during a disaster.

B. Performing concise client assessment is essential for determining the severity of each client’s condition and prioritizing care.

C. Preventing cross-contamination of clients is important to prevent the spread of toxic substances.

D. Transferring a client to the discharge location is the lowest priority during a disaster, as immediate care and management of acute conditions take precedence over discharge planning.

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Correct Answer is D

Explanation

Rationale:

A. Reassuring the partner is important for emotional support but does not directly impact the immediate safety of clients.

B. Reinforcing a dressing is important for wound care but does not address urgent concerns.

C. Taking a telephone prescription is necessary but not as immediate as addressing a potential complication.

D. Assessing a client with unilateral calf pain is the priority as it may indicate a serious condition such as deep vein thrombosis (DVT), which requires immediate evaluation and intervention.

A. Blood for PaCO2 B. Random stool specimen C. Wound drainage for culture D. Urine from an indwelling catheter

Correct Answer is B

Explanation

Rationale:

A. Blood for PaCO2 is a specialized specimen that requires venipuncture and specific handling to ensure accuracy, which should be performed by a licensed nurse or phlebotomist.

B. Random stool specimen collection is a routine task that can be delegated to the AP. It requires minimal specialized skill and is within the AP's scope of practice.

C. Wound drainage for culture requires sterile technique and proper handling to avoid contamination, which is beyond the AP's responsibilities.

D. Urine from an indwelling catheter requires specialized techniques and knowledge to ensure proper collection, and should be performed by a nurse.

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A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?

Correct Answer is B

Explanation

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