Exam 71: Nursing Management Emergency Care Situations

The nurse is assessing a client admitted to the emergency department (ED) with a broken arm and facial bruises and notes multiple additional bruises in various stages of healing. Which of the following responses by the nurse is most appropriate?

The nurse is assessing a client who is brought to the emergency department (ED) with multiple lacerations and tissue avulsion of the right hand. When asked about tetanus immunization, the client denies having any previous vaccinations. Which of the following should the nurse anticipate administering to the client?

The nurse is caring for a client who has experienced blunt abdominal trauma during a car accident and has increasing abdominal pain. Which of the following diagnostic tests should the nurse prepare the client for?

The following actions are part of the routine emergency department (ED) protocol for a client who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?

The nurse is rewarming a client who arrived in the emergency department (ED) with a temperature of 29°C (84.2°F) and no audible pulse. Which of the following temperatures should the nurse rewarm the client to, prior to a pronouncement of death?

After spending the previous weekend camping out with some friends, a client arrives at the emergency department and is diagnosed with flaccid ascending paralysis. Based upon this information, the nurse concludes that the client has been bitten by whichofthefollowing?

The nurse is assessing a client with hypothermia. Which of the following assessments should the nurse expect to find?

A triage nurse is assessing a client who complains of 6/10 abdominal pain and states, "I had a temperature of 40.3°C (104.5°F) at home." Which of the following actions should the nurse implement first?

The nurse is preparing to rewarm a client with hypothermia. Which of the following actions should the nurse implement?

The triage nurse is assessing four victims of an automobile accident. Which of the following clients has the highest priority for treatment?

The nurse is admitting a client to the emergency department after a submersion injury. Which of the following assessments is priority?

The nurse is conducting a primary assessment of a trauma victim and determines that the client is breathing and has an unobstructed airway. Which of the following actions should the nurse take next?

Aclient who is unconscious after a fall from a ladder is transported to the emergency department by family members. During the primary survey of the client, which of the following actions should the nurse implement?

A client arrives in the emergency department (ED) a few hours after taking "20-30" acetaminophen (Tylenol) tablets. Which of the following actions will the nurse plan to take?

A client's family members are in the client room when the client has a cardiac arrest and emergency personnel start resuscitation measures. Which of the following actions should the nurse take first?

These four clients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed?

The nurse is observing a client who experienced a near drowning accident in a local lake, but now is awake and breathing spontaneously. Which of the following actions will be most important for the nurse to take during the observation period?

The nurse is caring for a client that has sustained a black widow spider bite. Which of the following times should the nurse be aware of that the symptoms usually peak?

Aclient arrives at the emergency department with complaints of being bitten by a cat. Which of the following parameters should the nurse assess? (Select all that apply.)

Gastric lavage and administration of activated charcoal are prescribed for an unconscious client who has been admitted to the emergency department (ED) after ingesting 30 diazepam tablets. Which of the following actions will the nurse plan to take first?