A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?
A client who has an open upper extremity fracture
A client experiencing a tension pneumothorax
A client who has full-thickness burns over 85% of their body
A client who has agonal respirations
The Correct Answer is B
A. A client who has an open upper extremity fracture: While this is a serious injury, it is less critical compared to a tension pneumothorax in a triage setting.
B. A client experiencing a tension pneumothorax: This is a life-threatening condition that requires immediate intervention to relieve pressure on the lungs and restore adequate breathing.
C. A client who has full-thickness burns over 85% of their body: This is a severe condition with a high mortality risk, but in a mass casualty situation, a tension pneumothorax is prioritized for immediate care.
D. A client who has agonal respirations: Agonal respirations indicate severe distress, but the immediate need for intervention is to address conditions that can rapidly compromise life, such as a tension pneumothorax.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pantoprazole: This medication is a proton pump inhibitor used to treat acid-related disorders and does not interact adversely with sildenafil.
B. Isosorbide mononitrate: This is correct. Isosorbide mononitrate is a nitrate used to treat angina. Combining it with sildenafil can lead to severe hypotension due to their additive vasodilatory effects.
C. Acetylsalicylic acid: This is incorrect. Acetylsalicylic acid (aspirin) is used for pain relief and cardiovascular protection and does not contraindicate sildenafil use.
D. Atorvastatin sodium: This is incorrect. Atorvastatin is a statin used to manage cholesterol levels and does not contraindicate sildenafil use.
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.
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