Nokea
A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?
- A. Consult the or medical orthopedic surgeon.
- B. Does personal protective equipment.
- C. Notify the Rapid Response Team.
- D. Obtain a complete history from the paramedic.
Correct Answer: B
Rationale: Wearing personal protective equipment is critical to prevent contamination from blood and body fluids during emergency resuscitation.
You may also like to solve these questions
A nurse in 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 remote areas and provides advanced life support within resource capabilities
- C. Level III Located in rural communities and provides only basic care to clients
- D. Level IV Located in large trauma hospitals and provides a full continuum of trauma care for all clients
Correct Answer: B
Rationale: Level II trauma centers provide advanced life support and transfer clients to Level I centers when needed, unlike Level I, which are in large hospitals, or Level IV, which provide basic care in rural areas.
A nurse in 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 45-year-old with a pain and a 28 breaths/min and a temperature of 101 F
- D. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F
Correct Answer: B
Rationale: Chest pain and diaphoresis suggest a potential cardiac emergency, which is life-threatening and requires immediate attention.
An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?
- A. Knows all tubes and wires in preparation for the medical examiner.
- B. Listens the number of people in the client's family trauma.
- C. Consult the bereavement committee to follow up with the grieving family.
- D. Communicate the clients death to the family in a simple and concrete manner.
Correct Answer: D
Rationale: Clear and simple communication minimizes confusion during a crisis, making it the priority action when informing the family of the client's death.
Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first?
- A. Assess that the client is breathing adequately.
- B. Insert a large-bore intravenous line.
- C. Place the client rate in a cardiac monitor.
- D. Assess for the best neurologic response.
Correct Answer: A
Rationale: Ensuring adequate breathing is the highest priority in the primary survey, as it directly impacts survival.
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 20-year-old female with a chest stab wound and tachycardia
- C. A 70-year-old female with a cough and a temperature of 102 F
- D. A 50-year-old male with chest pain, confusion, and slurred speech.
Correct Answer: C
Rationale: A cough and fever of 102 F indicate a risk of deterioration, making this client urgent, though clients with stab wounds or neurological symptoms are emergent.