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Fragen in diesem Quiz (9)
1Nurse Ejay is assigned to a telephone triage. A client called who was stung by a honeybee and is asking for help. The client reports of pain and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the appropriate initial action that the nurse should direct the client to perform?
- ARemoving the stinger by scraping it.
- BApplying a cold compress.
- CTaking an oral antihistamine.
- DCalling the 911.
2A client arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority to take?
- AIrregular pulse.
- BEcchymosis in the flank area.
- CA deviated trachea.
- DUnequal pupils.
3Nurse Kelly, a triage nurse encountered a client who complaints of mid-sternal chest pain, dizziness, and diaphoresis. Which of the
following nursing action should take priority?- AComplete history taking.
- BPut the client on ECG monitoring.
- CNotify the physician.
- DAdminister oxygen therapy via nasal cannula.
4The following clients come at the emergency department complaining of acute abdominal pain. Prioritize them for care in order of the severity of the conditions.
1. A 27-year-old woman complaining of lightheadedness and severe sharp left lower quadrant pain who reports she is possibly pregnant.
2. A 43-year-old woman with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the week.
3. A 15-year-old boy with a low-grade fever, right lower quadrant pain, vomiting, nausea, and loss of appetite for the past few days.
4. A 57-year-old woman who complains of a sore throat and gnawing midepigastric pain that is worse between meals and during the night.
5. A 59-year-old man with a pulsating abdominal mass and sudden onset of persistent abdominal or back pain, which can be described as a tearing sensation within the past hour.- A2,5,3,4,1
- B3,1,4,5,2
- C5,1,3,2,4
- D2,5,1,4,3
5The following clients are presented with signs and symptoms of heat-related illness. Which of them needs to be attended first?
- AA relatively healthy homemaker who reports that the air conditioner has been broken for days and who manifest fatigue, hypotension, tachypnea, and profuse sweating.
- BAn elderly person who complains of dizziness and syncope after standing in the sun for several hours to view a parade.
- CA homeless person who is a poor historian; has altered mental status, poor muscle coordination, and hot, dry ashen skin; and whose duration of heat exposure is unknown.
- DA marathon runner who complains of severe leg cramps and nausea, and manifests weakness, pallor, diaphoresis, and tachycardia.
6An anxious female client complains of chest tightness, tingling sensations, and palpitations. Deep, rapid breathing, and carpal spasms are noted. Which of the following priority action should the nurse do first?
- AProvide oxygen therapy.
- BNotify the physician immediately.
- CAdminister anxiolytic medication as ordered.
- DHave the client breathe into a brown paper bag
7 You’re working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?
- AGreen
- Byellow
- Cred
- Dblack
8 A catastrophic disaster has occurred 5 miles from the hospital you are working in. The hospital’s disaster plan is activated and the wounded are brought to the hospital. You’re helping triage the survivors. One of the wounded is able to walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor?
- ARed
- BYellow
- CGreen
- DBlack
9A 57 year old African American male presents to your Emergency Department at 2200 complaining of chest pain that began at dinner and has lasted for over two hours. He has a prior history of hypertension for which he is on lisinopril 40mg PO daily and he smokes 1/2 pack a day. He weighs 240 lbs and is 5’6”. He is accompanied by his worried wife and his occupation is a business executive. He did try to take two Tums at dinner but it didn’t relieve his chest pain. His pain is an 8/10 and is radiating up his sternum. It is intermittent and activity makes it worse. He was brought directly back into your ED bay and his vital signs are 170/90, heart rate of 98, respirations 27, 97% pulse oximetry on room air, and temperature of 98.9 degrees F.
- APut him on a cardiac monitor, place on 2 liters of oxygen and draw a set of cardiac enzymes and a BNP before continuing.
- BPut him on a cardiac monitor, place an IV, do a history and physical exam, give an appropriate dose of aspirin, obtain an EKG and chest x-ray, and place on 2 liters of oxygen.
- CPut him on a cardiac monitor, place an IV, do a history and physical exam, give an appropriate dose of aspirin, obtain an EKG, and place on 2 liters of oxygen.
Informationen
- Beschreibung
- Der Nutzer hat seine Fachbereichs-Information gelöscht. Quiz am ER, erstellt von Gelöschter Nutzer am 10/03/2020.
- Autor
- Gelöschter Nutzer
- Sprache
- English
- Aufrufe
- 351
- Verlauf
- Erstellt am 10 Mär 2020 · aktualisiert am 10 Mär 2020
- Schlagwörter