A nurse is triaging clients in the emergency department. Which client should the nurse classify as nonurgent?
a. A 44-year-old with chest pain and diaphoresis
b. A 50-year-old with chest trauma and absent breath sounds
c. A 62-year-old with a simple fracture of the left arm
d. A 79-year-old with a temperature of 104 F
Question 2An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information should the nurse include in the nurse-to-nurse hand-off report? (Select all that apply.)
a. Mechanism of injury
b. Diagnostic test results
c. Immunizations
d. List of home medications
e. Isolation precautions
Question 3An emergency department nurse is caring for a client who is homeless. Which action should the nurse take to gain the client's trust?
a. Speak in a quiet and monotone voice.
b. Avoid eye contact with the client.
c. Listen to the client's concerns and needs.
d. Ask security to store the client's belongings.
Question 4An emergency department (ED) case manager is consulted for a client who is homeless. Which intervention should the case manager provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
Question 5An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family's trauma. c.
Consult the bereavement committee to follow up with the grieving family.
d. Communicate the client's death to the family in a simple and concrete manner.
Question 6A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
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