Complex Adult Health Exam 1Study Questions And Actual Answers.
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Course
Collaborative Adult Health
Institution
Collaborative Adult Health
1. An emergency room nurse assesses a client who has been raped. With which health care team member
should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - Answer ANS: C
All other...
Complex Adult Health Exam 1Study
Questions And Actual Answers.
1. An emergency room nurse assesses a client who has been raped. With which health care team
member
should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - Answer ANS: C
All other members of the health care team listed may be used in the management of this clients care.
However,
the forensic nurse examiner is educated to obtain client histories and collect evidence dealing with the
assault,
and can offer the counseling and follow-up needed when dealing with the victim of an assault.
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. While triaging clients in a crowded emergency department, a nurse assesses a client who presents
with
symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity. - Answer ANS: C
,A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in a
negativepressure room to prevent contamination of staff, clients, and family members in the crowded
emergency
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. 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 on a cardiac monitor.
d. Assess for the best neurologic response. - Answer ANS: A
The highest-priority intervention in the primary survey is to establish that the client is breathing
adequately.
Even though this client has an oxygen mask on, he or she may not be breathing, or may be breathing
inadequately with the device in place.
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 51
DIF: Applying/Application REF: 128
KEY: Primary survey| emergency nursing
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