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emilytren emilytren
wrote...
Posts: 308
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6 years ago
A nurse is triaging clients in the emergency department. Which client should be considered urgent?
 
  a. A 20-year-old female with a chest stab wound and tachycardia
  b. A 45-year-old homeless man with a skin rash and sore throat
  c. A 75-year-old female with a cough and a temperature of 102  F
  d. A 50-year-old male with new-onset confusion and slurred speech

Question 2

While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
 
  a. Apply oxygen via nasal cannula.
  b. Administer intravenous 0.9 saline solution.
  c. Transfer the client to a negative-pressure room.
  d. Obtain a sputum culture and sensitivity.

Question 3

A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first?
 
  a. A 22-year-old with a painful and swollen right wrist
  b. A 45-year-old reporting chest pain and diaphoresis
  c. A 60-year-old reporting difficulty swallowing and nausea
  d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101  F

Question 4

A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center?
 
  a. Level I - Located within remote areas and provides advanced life support within resource capabilities
  b. Level II - Located within community hospitals and provides care to most injured clients
  c. Level III - Located in rural communities and provides only basic care to clients
  d. Level IV - Located in large teaching hospitals and provides a full continuum of trauma care for all clients
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
A client with a cough and a temperature of 102  F is urgent. This client is at risk for deterioration and needs to be seen quickly, but is not in an immediately life-threatening situation. The client with a chest stab wound and tachycardia and the client with new-onset confusion and slurred speech should be triaged as emergent. The client with a skin rash and a sore throat is not at risk for deterioration and would be triaged as nonurgent.

The answer to question 2

ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in a negative-pressure room to prevent contamination of staff, clients, and family members in the crowded emergency department.

The answer to question 3

ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.

The answer to question 4

ANS: B
Level I trauma centers are usually located in large teaching hospital systems and provide a full continuum of trauma care for all clients. Both Level II and Level III facilities are usually located in community hospitals. These trauma centers provide care for most clients and transport to Level I centers when client needs exceed resource capabilities. Level IV trauma centers are usually located in rural and remote areas. These centers provide basic care, stabilization, and advanced life support while transfer arrangements to higher-level trauma centers are made.
emilytren Author
wrote...
6 years ago
All are answered correctly
wrote...
6 years ago
Happy to help
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