During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?
Contact the local health department.
Establish a triage area.
Administer oxygen therapy.
Notify the parents of the students.
The Correct Answer is B
Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.
Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.
Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.
Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Hospice care does not provide life extending interventions, but rather focuses on comfort and quality of life for the client and their family⁴⁵.
Choice B reason: This is correct. Hospice care is for people who are in the final stages of an incurable illness and have a life expectancy of 6 months or less⁴⁶. Hospice care helps ease symptoms and provide emotional and spiritual support⁵.
Choice C reason: This is partially correct. Hospice care does allow families to participate in the client's care, but this is not the main goal of hospice care⁴⁵. Hospice care also involves a team of professionals who provide medical, social, and practical support to the client and their family⁴.
Choice D reason: This is incorrect. Hospice services do not end when the client dies, but continue to provide bereavement support to the family for up to a year after the client's death⁴⁵..
Correct Answer is B
Explanation
Choice A reason: This statement is false and discouraging. The caregiver may be eligible for financial assistance for dementia from various sources, such as Medicare, Medicaid, or private insurance.
Choice B reason: This statement is true and supportive. The caregiver may benefit from finding a local support group for caregivers, where they can share their experiences, learn coping strategies, and access resources.
Choice C reason: This statement is unrealistic and harmful. The caregiver should not isolate themselves or their partner from other sources of support. The caregiver may need to delegate some tasks to other family members, friends, or professional caregivers.
Choice D reason: This statement is unreasonable and exhausting. The caregiver should not take over all the activities of daily living (ADLs) for their partner, as this may undermine their partner's autonomy and dignity. The caregiver should encourage their partner to perform ADLs as much as possible, with assistance as needed.
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