A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?
A client who has acute tonsillitis, is drooling, and has difficulty swallowing
A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness
A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%
A client who has lower left abdominal pain and bloody stools
The Correct Answer is A
A. A client who has acute tonsillitis, is drooling, and has difficulty swallowing: This client is likely experiencing severe swelling or an airway obstruction, which requires immediate attention to ensure the airway is not compromised.
B. A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness: While this client has concerning symptoms, airway compromise is prioritized in triage.
C. A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%: This client is hypoxic and requires prompt intervention, but airway issues take precedence.
D. A client who has lower left abdominal pain and bloody stools: This client may have a serious condition but does not require as immediate intervention as a compromised airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["675"]
Explanation
To calculate the appropriate dose of vancomycin, follow these steps:
- Convert pounds to kilograms:
- 198 lb (1 kg / 2.2 lb) = 90 kg
- Calculate the total daily dose:
- 15 mg/kg/day 90 kg = 1350 mg/day
- Determine the dose per administration:
- 1350 mg/day / 2 doses/day = 675 mg/dose
Correct Answer is D
Explanation
A. Rub the skin completely dry following a decontamination shower: This is incorrect. The skin should be patted dry, not rubbed, to avoid further irritation.
B. Prepare to administer amyl nitrate: This is incorrect. Amyl nitrate is used for cyanide poisoning, not sarin gas exposure.
C. Provide respiratory support with a plastic airway: While respiratory support may be needed, the priority in sarin gas exposure involves addressing symptoms and potential seizures.
D. Initiate seizure precautions: Sarin gas is a nerve agent that can cause seizures due to its effect on the nervous system. Seizure precautions are necessary for clients exposed to sarin gas.
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