The nurse should identify that Client 1 requires priority care due to which of the following reasons?
The client has severe but survivable injuries.
The client has minor injuries requiring immediate care.
The client has non-life-threatening injuries but requires follow-up care.
The client has injuries that do not require urgent attention.
The Correct Answer is A
Choice A rationale
Severe but survivable injuries demand immediate care to stabilize critical functions like airway, breathing, and circulation. Prioritizing care ensures better survival outcomes, especially with red tag cases requiring prompt medical intervention.
Choice B rationale
Minor injuries do not threaten life or major functions, so they do not require immediate care. Patients with minor issues are generally green-tagged and can wait without significant adverse outcomes.
Choice C rationale
Non-life-threatening injuries needing follow-up care may have minimal short-term risks, making them less urgent. Such cases often align with yellow tag classifications for priority but non-immediate attention.
Choice D rationale
Injuries without urgent attention lack immediate risk to life or function. These cases can afford to wait without compromising patient outcomes, especially under mass casualty triage protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Monitoring blood pressure trends ensures early detection of medication effectiveness, yet is secondary to addressing critical hypokalemia. Normal blood pressure is 120/80 mmHg; deviations warrant monitoring, but this is not the priority intervention.
Choice B rationale
Administering potassium chloride STAT addresses potential hypokalemia, which risks arrhythmias and muscle weakness. Normal potassium levels range between 3.5-5.0 mEq/L, highlighting urgency when potassium is below normal.
Choice C rationale
Reassessing additional medication needs at a set time ensures comprehensive care but does not address immediate life-threatening conditions like hypokalemia, which requires urgent correction to prevent cardiac dysfunction.
Choice D rationale
Educating about blood pressure maintenance is crucial for long-term management but does not address the immediate physiological imbalance or risk of arrhythmias due to electrolyte disturbance, making it a lower priority.
Correct Answer is A
Explanation
Choice A rationale
Active immunity involves the production of antibodies by B lymphocytes in response to antigen exposure, creating a specific and adaptive immune response. This process provides long-lasting immunity.
Choice B rationale
Passive immunity provides temporary immunity through the transfer of pre-formed antibodies, such as via breast milk or immunoglobulin therapy. It does not induce memory B cell activation, so lifelong immunity is not achieved.
Choice C rationale
Active immunity results in long-term immunity by stimulating the immune system to develop memory cells. It does not have a short duration as it enables sustained protection against pathogens.
Choice D rationale
Passive immunity does not involve active antigen recognition by the immune system. However, the immune system is not rendered incapable of recognizing antigens, as this statement incorrectly implies a functional deficiency.
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