An emergency room nurse will give first priority to the patent with the most critical need, which is the patient who
Bleeding from a chin laceration
complain of severe chest pain
has a fever of 102 degrees
complains of a productive cough
The Correct Answer is B
A. Bleeding from a chin laceration: This is a significant concern, but it's generally not immediately life-threatening. The bleeding can be controlled, and it's not likely to lead to a rapid decline in the patient's condition.
B. Complain of severe chest pain: This is a critical symptom as it could indicate a heart attack or other serious cardiac issue. Chest pain could be a sign of a lack of blood flow to the heart, which can lead to severe complications if not addressed urgently.
C. Has a fever of 102 degrees: While a fever indicates an infection or inflammation in the body, a fever of 102 degrees Fahrenheit, by itself, is not an immediate life-threatening situation. It suggests an underlying issue that needs medical attention but might not be as urgent as severe chest pain.
D. Complains of a productive cough: While a productive cough (bringing up phlegm or mucus) could indicate a respiratory infection, it's generally not as urgent as severe chest pain. Respiratory issues can become serious, especially in vulnerable populations, but they often progress over a longer timeframe compared to the rapid onset of a heart attack, for example.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To calculate the number of 40mg capsules needed for a 2-grain dose, you need to convert grains to milligrams since the supply is given in milligrams (mg).
1 grain is approximately equal to 64.8 milligrams.
Now, let's calculate:
2 grains * 64.8 mg/grain = 129.6 mg
So, the nurse would give 129.6 milligrams of the medication. Since the supply is in 40mg capsules, you'll need to divide the total dose by the amount in each capsule to determine the number of capsules needed:
129.6 mg / 40 mg/capsule ≈ 3.24
Since you can't give a fraction of a capsule, the nurse would give 4 capsules to achieve a dose of approximately 129.6 milligrams.
Correct Answer is A
Explanation
A. An independent nursing action:
This statement is correct. Preparing a patient for a diagnostic test and providing information about what to expect during and after the test is within the scope of nursing practice. Nurses can independently educate patients and prepare them for procedures based on their knowledge and protocols.
B. The doctor's responsibility:
This statement is incorrect. While doctors order tests and procedures, it is the responsibility of the nursing staff to prepare the patient, provide necessary information, and ensure the patient's understanding and comfort before the procedure.
C. A dependent nursing action that requires the doctor's authorization:
This statement is incorrect. Preparing a patient for a diagnostic test and providing education about the procedure do not require direct authorization from the doctor. Nurses can perform these actions as part of their nursing practice.
D. An interdependent nursing action:
This statement is incorrect. Interdependent nursing actions involve collaboration with other healthcare professionals. Educating the patient about a diagnostic test is primarily an independent nursing action, although collaboration with other team members might be necessary in certain cases.
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