A triage nurse in the emergency department is responsible for deciding who is seen first—the most unstable patient versus the patient who is merely uncomfortable. Which of the following patients should be seen first by the emergency physicians?
a. Patient scheduled to arrive by helicopter in acute chest pain with normal troponin levels at the originating hospital
b. Patient dropped off by "friends" following a night of alcohol and drug use
c. Patient who drove himself to the emergency department following a stab wound to the abdomen
d. Patient who arrives with gastrointestinal bleeding whose blood pressure is 85/40 mm Hg and heart rate is 120 beats/min.
D
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A This patient does not have priority over the patient in D.
B This patient does not have priority over the patient in D.
C This patient does not have priority over the patient in D.
D This patient is obviously in shock and should be seen urgently by an emergency physician.
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An older female nursing home resident begins to forget where activities occur, so the nurse engages her in reminiscence. Which goal of reminiscence is the most relevant to improve the nurse's communication with this elder?
a. Provides cognitive stimulation b. Obtain information about fears c. Offers a pleasurable experience d. Can improve depressive symptoms
Which physical finding should the nurse expect to assess in a patient with alcoholic liver disease?
A) Dyslipidemia B) Insulin resistance C) Palmar erythema D) Hyperglycemia
The nurse observes abdominal breathing in a 2-year-old child. What would this finding indicate?
a. Imminent respiratory failure b. Hypoxia c. Normal respiration d. Airway obstruction
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility
The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, "What is the purpose of the hospitalization?" Which response by the nurse would be most appropriate? A) "Basically, they are kept under protective custody as long as necessary." B) "Efforts are focused on helping the client become 'fit' to stand trial." C) "Treatment is focused on determining the correct diagnosis." D) "The main purpose is holding the client until a new trial date can be set."