Gastric lavage and administration of activated charcoal are ordered for an unconscious patient who has been admitted to the emergency department (ED) after ingesting 30 lorazepam (Ativan) tablets. Which action should the nurse plan to do first?
a. Insert a large-bore orogastric tube.
b. Assist with intubation of the patient.
c. Prepare a 60-mL syringe with saline.
d. Give first dose of activated charcoal.
Question 2The emergency department (ED) triage nurse is assessing four victims involved in a motor vehicle collision. Which patient has the highest priority for treatment?
a. A patient with no pedal pulses.
b. A patient with an open femur fracture.
c. A patient with bleeding facial lacerations.
d. A patient with paradoxic chest movements.
Question 3The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
a. Remove the patient's rings.
b. Apply ice packs to both hands.
c. Apply calamine lotion to any itching areas.
d. Give diphenhydramine (Benadryl) 50 mg PO.
Question 4A 20-year-old patient arrives in the emergency department (ED) several hours after taking 25 to 30 acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?
a. Give N-acetylcysteine (Mucomyst).
b. Discuss the use of chelation therapy.
c. Start oxygen using a non-rebreather mask.
d. Have the patient drink large amounts of water.
Question 5A triage nurse in a busy emergency department (ED) assesses a patient who complains of 7/10 abdominal pain and states, I had a temperature of 103.9 F (39.9 C) at home. The nurse's first action should be to
a. assess the patient's current vital signs.
b. give acetaminophen (Tylenol) per agency protocol.
c. ask the patient to provide a clean-catch urine for urinalysis.
d. tell the patient that it will 1 to 2 hours before being seen by the doctor.
Question 6When assessing an older patient admitted to the emergency department (ED) with a broken arm and facial bruises, the nurse observes several additional bruises in various stages of healing. Which statement or question by the nurse is most appropriate?
a. Do you feel safe in your home?
b. You should not return to your home.
c. Would you like to see a social worker?
d. I need to report my concerns to the police.
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