You are assigned to the position of triage nurse in the emergency department. A homeless person is admitted during a blizzard with complaints of being unable to feel his feet and lower legs. Core temperature is noted at 33.2°C
The patient is alcohol impaired at the time of admission and undernourished. The priority for care in this patient is what?
A) Hypothermia
B) Frostbite
C) Substance abuse
D) Alteration in nutrition
Ans: A
Feedback: The patient may also have frostbite, but hypothermia takes precedence in treatment. The alcohol abuse and the alteration in nutrition do not take precedence over the treatment of hypothermia.
You might also like to view...
The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing the data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds?
A) Rheumatoid arthritis B) Lupus erythematosus C) Osteoporosis D) Gout
Which population is at highest risk for the occurrence of aneuploidy in offspring?
A. Mothers younger than 18 B. Fathers younger than 18 C. Mothers over age 35 D. Fathers over age 35
The primary physician orders a narcotic analgesic for a client in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Contraction pattern every 3 minutes for 60 seconds 2. Fetal monitor tracing showing late decelerations 3. Client sleeping between contractions 4. Blood pressure 150/90 5. Blood pressure 80/42
A client with AIDS is in the terminal stage of the disease. What would be the focus of care for this client?
A) Comfort B) Medications C) Rehabilitation D) Social interaction