An emergency department nurse triages a group of school children injured in a school bus crash. Which of the following children should the nurse have the provider evaluate first?
A child who has a forehead wound that is bleeding copiously
A child who has a compound fracture of the femur and is crying in pain
A child who reports diplopia and nausea and was unconscious at the scene but is now awake
A child who has several missing permanent teeth and a swollen, ecchymotic upper lip
The Correct Answer is C
A. A child who has a forehead wound that is bleeding copiously: While bleeding wounds require attention, they are not immediately life-threatening compared to other injuries described.
B. A child who has a compound fracture of the femur and is crying in pain: While painful, a
femur fracture is not typically immediately life-threatening unless it is causing severe bleeding or compromising circulation.
C. A child who reports diplopia and nausea and was unconscious at the scene but is now awake:
These symptoms suggest potential head trauma and require urgent evaluation to assess for intracranial injuries.
D. A child who has several missing permanent teeth and a swollen, ecchymotic upper lip: These injuries, while concerning, are not immediately life-threatening compared to the potential head injury described in option C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["92"]
Explanation
- Pulse pressure is the difference between systolic and diastolic blood pressure.
- The client's pulse pressure is 132 - 40 = 92 mm Hg.
Correct Answer is D,C,E,A,B
Explanation
D. Apply sterile gloves and place cleansing balls in antiseptic solution.
C. Lubricate the catheter and place fenestrated drape over perineum.
E. Cleanse the meatus with the dominant hand in a downward motion.
A. Insert the catheter until a flow of urine begins.
B. Attach prefilled syringe to indwelling catheter inflation hub.
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