Emergency
Showing posts with label Emergency. Show all posts
Showing posts with label Emergency. Show all posts

A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has a complete airway obstruction based on which of the following?

A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has a complete airway obstruction based on which of the following?


a) Refusal to lie flat

b) Forceful coughing

c) High-pitched noise on inhalation

d) Wheezing between coughs



Asnwer: High-pitched noise on inhalation

A patient presents to the ED complaining of choking on a chicken bone. The patient is breathing spontaneously. The nurse applies oxygen and suspects a partial airway obstruction. Which of the following should the nurse do next?

A patient presents to the ED complaining of choking on a chicken bone. The patient is breathing spontaneously. The nurse applies oxygen and suspects a partial airway obstruction. Which of the following should the nurse do next?


a) Encourage the patient to cough forcefully.

b) Prepare the patient for a bronchoscopy.

c) Insert a nasopharyngeal airway.

d) Insert an oropharyngeal airway.


Asnwer: Encourage the patient to cough forcefully.

A client arrives at the emergency department and is experiencing a severe allergic reacton to a bee sting. The client received treatment and is being discharged. Which client statement indicates that additional teaching about exposure prevention is needed?

A client arrives at the emergency department and is experiencing a severe allergic reacton to a bee sting. The client received treatment and is being discharged. Which client statement indicates that additional teaching about exposure prevention is needed?


a) "I need to avoid using perfumes and scented soaps when I'm going outside."

b) "If a bee comes near me, I should stay still."

c) "I should always wear something on my feet when I'm outside."

d) "Brightly colored clothes help to ward off bees."



Asnwer: "Brightly colored clothes help to ward off bees."

A 40-year-old female patient is admitted to the ED with facial bruises and a broken right wrist. Upon further assessment, the nurse notes multiple bruises in various stages of healing. Which of the following is the nurse's best course of action?

A 40-year-old female patient is admitted to the ED with facial bruises and a broken right wrist. Upon further assessment, the nurse notes multiple bruises in various stages of healing. Which of the following is the nurse's best course of action?


a) Asking the patient how she obtained the various bruises

b) Providing the patient with information about local shelters

c) Contacting the local police and report the suspected abuse

d) Asking the patient if someone is abusing her



Asnwer: Asking the patient if someone is abusing her

A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of the following would be most appropriate to do?

A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of the following would be most appropriate to do?


a) Ask the ambulance team for information about the client's family to ensure informed consent.

b) Document the client's condition and absence of friends or family for obtaining consent to treatment.

c) Explain to the client that care is going to be provided because he is seriously ill.

d) Check the client's record for the name of a family member to call to allow care to be provided.



Asnwer: Document the client's condition and absence of friends or family for obtaining consent to treatment.

A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement?

A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement?


a) Dilution with water or milk

b) Administration of activated charcoal

c) Induced vomiting

d) Gastric lavage



Asnwer: Induced vomiting

A patient was bitten by a tick 3 months ago and is now having muscle aches as well as joint pain and swelling. The patient is having difficulty with self care and requires assistance with activities of daily living (ADLs). What stage of Lyme disease does the nurse recognize the patient is in?

A patient was bitten by a tick 3 months ago and is now having muscle aches as well as joint pain and swelling. The patient is having difficulty with self care and requires assistance with activities of daily living (ADLs). What stage of Lyme disease does the nurse recognize the patient is in?


a) Stage IV

b) Stage II

c) Stage I

d) Stage III



Asnwer: Stage III

A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What intervention should the nurse provide prior to the procedure?

A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What intervention should the nurse provide prior to the procedure?


a) Administer an analgesic as ordered.

b) Apply a heat lamp.

c) Elevate the legs.

d) Massage the extremities.



Asnwer: Administer an analgesic as ordered.

A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying on his back; he is unconscious and isn't breathing. What maneuver should the nurse use to open his airway?

A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying on his back; he is unconscious and isn't breathing. What maneuver should the nurse use to open his airway?


a) Head tilt-chin lift

b) Abdominal thrust

c) Seldinger

d) Jaw-thrust


Asnwer: Jaw-thrust

Which of the following guidelines is appropriate to helping family members cope with sudden death?

Which of the following guidelines is appropriate to helping family members cope with sudden death?


a) Provide details of the factors attendant to the sudden death

b) Inform the family that the patient has passed on

c) Obtain orders for sedation for family members

d) Show acceptance of the body by touching it, giving the family permission to touch



Asnwer: Show acceptance of the body by touching it, giving the family permission to touch

The nurse is caring for a patient in the ED following a sexual assault. The patient is hysterical and crying. The patient states, "I know I'm pregnant now, maybe I have HIV; why did this happen to me?" The nurse's best response is which of the following?

The nurse is caring for a patient in the ED following a sexual assault. The patient is hysterical and crying. The patient states, "I know I'm pregnant now, maybe I have HIV; why did this happen to me?" The nurse's best response is which of the following?


a) "Do you want to discuss antipregnancy measures?"

b) "Do you want the phone number for the National Sexual Assault Hotline?"

c) "Would you like us to complete HIV testing?"

d) "Let's talk about this; do you want me to call a support person?"



Asnwer: "Let's talk about this; do you want me to call a support person?"

A patient presents to the ED following a motor vehicle collision. The patient is suspected of having internal hemorrhage. The nurse assesses the patient for signs and symptoms of shock. Signs and symptoms of shock include which of the following?

A patient presents to the ED following a motor vehicle collision. The patient is suspected of having internal hemorrhage. The nurse assesses the patient for signs and symptoms of shock. Signs and symptoms of shock include which of the following? 


a) Decreasing blood pressure

b) Increasing urine volume

c) Increasing heart rate

d) Delayed capillary refill

e) Cool, moist skin



Asnwer: 


• Decreasing blood pressure

• Cool, moist skin

• Increasing heart rate

• Delayed capillary refill

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