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An emergency department (ED) case manager is consulted for a client who is homeless. Which intervention should the case manager provide?
- A. Communicate client needs and restrictions to support staff.
- B. Prescribe low-cost antibiotics to treat community-acquired infection.
- C. Provide referrals to subsidized community-based health clinics.
- D. Offer counseling for substance abuse and mental health disorders.
Correct Answer: C
Rationale: Providing referrals to subsidized clinics addresses the client's ongoing healthcare needs, which is within the case manager's role.
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While staging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of a tuberculosis. Which action should the nurse take first?
- A. Apply oxygen via nasal cannula.
- B. Administer intravenous 0.5% saline solution.
- C. Transfer the client to a negative-pressure room.
- D. Obtain a sputum culture and sensitivity.
Correct Answer: C
Rationale: Placing the client in a negative-pressure room prevents the spread of airborne pathogens like tuberculosis, prioritizing staff and patient safety.
A nurse is caring for clients in a busy emergency department. Which actions should the nurse take to ensure client and staff safety? (Select all that apply.)
- A. Leave the stretcher in the lowest position with rails down so that the client can access the bathroom.
- B. Use two identifiers before each intervention and before medication administration.
- C. Attempt de-escalation strategies for clients who demonstrate aggressive behaviors.
- D. Place clients with infectious diseases in isolation rooms.
- E. Ensure all sharps are disposed of in puncture-resistant containers.
Correct Answer: B,C,D,E
Rationale: Leaving the stretcher with rails down poses a fall risk, so it is incorrect. Using two identifiers ensures correct patient identification, de-escalation promotes safety with aggressive clients, isolation prevents disease spread, and proper sharps disposal reduces injury risk.
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.
The emergency department team is performing cardiopulmonary resuscitation on a client when the clients spouse arrives at the emergency department. Which action should the nurse take first?
- A. Request that the clients spouse ask in the waiting room.
- B. Ask the spouse if he wishes to be present during the resuscitation.
- C. Suggest that the spouse begin to pray for the client.
- D. Suggest that the spouse begin to pray for the client.
Correct Answer: B
Rationale: Allowing the spouse to be present during resuscitation respects their need for closure and emotional support, making it the priority action.