A nurse is performing triage in the emergency department. Which is part of a primary assessment in an emergency setting?

a. Determine the level of consciousness.
b. Obtain a health history.
c. Obtain a full set of vital signs.
d. Evaluate for pain.


A
A primary assessment consists of assessing airway, breathing, circulation, the child's level of consciousness, and exposure (ABCDEs). Obtaining the child's health history is a component of a secondary assessment. Vital signs are included in a secondary assessment, after the ABCDEs are assessed. Assessing for pain is a component of a secondary assessment.

Nursing

You might also like to view...

A nurse is planning to present a lecture/discussion on health maintenance to adolescents in their high school health class. The nurse will include which topic in the presentation information?

1. Limiting refined sugar and high-fat intake 2. Resources for treatment of eating disorders for all adolescents 3. Type 2 diabetes mellitus and insulin resistance 4. The importance of decreasing calcium intake once full adult height is achieved

Nursing

A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis?

1. Clay-colored stools and dark urine 2. History of early passage of meconium in the newborn period 3. History of chronic, progressive constipation and failure to gain weight 4. Continual bouts of foul-smelling diarrhea

Nursing

A nurse is developing a presentation for families who have members that have been diagnosed with bipolar disorders. When describing this condition to the group, which of the following would the nurse most likely include?

A) As the person ages, the episodes tend to decrease over time. B) Environmental stressors are a key cause of these disorders. C) The risk for suicide is high with either depression or mania. D) Risk-taking behaviors are more common with a depressive episode.

Nursing

A nurse has provided instructions to a mother regarding the use of safety seats in car travel for her newborn infant. Which statement by the mother indicates understanding of the instructions?

A. "I'll put the baby's car seat in the front seat, facing forward and reclined a little." B. "I'll put the baby's car seat in the front seat, facing backward and reclined a little." C. "I'll put the baby's car seat in the middle back seat, facing forward and reclined a little." D. "I'll put the baby's car seat in the middle back seat, facing backward and reclined a little."

Nursing