At the scene of a terrorist attack, the nurse assists with triaging victims. Which victim should be seen as first priority or most urgent? (Select all that apply.)
a. Victim is pulseless.
b. Victim has chest pain.
c. Victim has multiple fractures.
d. Victim has chest wound.
e. Victim has a head injury with loss of consciousness.
f. Victim has third-degree burns.
B, D, E, F
During triage, the victims who should be seen as first priority or most urgent are those who have the most likelihood of survival if assistance is received. All nonemergent cases are seen last.
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A client is being discharged from the hospital after surgery on hydrocodone and acetaminophen (Lorcet). What discharge instruction is most important for this client?
a. "Call the doctor if the Lorcet does not relieve your pain." b. "Check any over-the-counter medications for acetaminophen." c. "Eat more fiber and drink more water to prevent constipation." d. "Keep your follow-up appointment with the surgeon as scheduled."
Which therapeutic interventions may be withdrawn or withheld from the terminally ill client? (Select all that apply.)
a. Antibiotics b. Dialysis c. Nutrition d. Pain medications e. Simple nursing interventions such as repositioning and hygiene
How does fear differ from anxiety?
a. Fear is a useless emotion. b. Fear is an ineffective coping strategy. c. Fear is an irrational feeling. d. Fear is a response to a specific threat.
A nurse is caring for a patient who has come into the clinic insisting on seeing a psychiatric nurse practitioner immediately because the patient is in crisis. In order to prevent a possible catastrophic reaction, the nurse will:
a. take the patient to an exam room immediately and begin to assess the situation and needs. b. ask the patient to please take a seat in the waiting room until the nurse practitioner can be called. c. ask the patient what psychiatric medications have been prescribed and when the patient last self-administered the drugs. d. call the clinic manager to assume responsibility for the patient's care so that the other patients can be attended to effectively.