NUR 213 Test 4 Ch.1 - utilization of trauma centers? A. "Clients requ...

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NUR 213 Test 4 Ch.1

• Which statement by the student nurse indicates effective learning about the functions and

utilization of trauma centers?

• "Clients requiring advanced life support should be sent to a level II trauma center."
• "Most injured clients requiring urgent treatment should be sent to a level I trauma center."
• "Clients requiring stabilization with major injuries should be sent to a level III trauma

center."

• "Clients requiring full continuum of trauma services should be sent to a level IV trauma

center.

Answer C

• Which client would the nurse provide care for first based on priority of condition and

findings?Client A- Cardiomyopathy, lower extremities swollen, Weight gain Client B- PAD, Painful cramping in hip region, Weakness and numbness in leg Client C- Aortic Aneurysm, Breathing difficulty, Chest pain Client D- Chest Trauma, Breathing difficulty, Coughing up blood

Answer Client D

• Which action would be priority for a client diagnosed with major depression who is

experiencing psychotic features and who says, "All of my relatives have been killed because I've been sinful and need to be punished"?

• Protecting the client against any suicidal impulses
• Supporting the client's interest in the outside world
• Helping the client manage the concern for family members
• Reassuring the client that past behaviors are not being punished

Answer A

• Which nursing goal would be priority for an adolescent who has a history of fighting,

stealing, vandalizing property, running away from home, and has been suspended from school repeatedly?

• Preventing violence
• Encouraging insight
• Supporting self-esteem
• Promoting social interaction

Answer

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• Which priority parameter would the nurse assess when caring for an older adult client with a

neurocognitive disorder who demonstrates disorientation and numerous unmanageable behaviors?

• Orientation to time, place, and person
• Ability to perform daily activities without assistance from others
• Stressors that appear to precipitate the client's disruptive behavior
• Cognitive impairments until complete adjustments are accomplished

Answer C

• When notified of a client en route to the emergency department after sus- taining a gunshot

wound to the chest, which action is the nurse ' s priority

when preparing for the client' s arrival?

• Reserve an operating room.
• Organize equipment for a tracheotomy.
• Prepare equipment for chest tube insertion.
• Arrange for a portable chest x-ray examination.

Answer C

• The emergency department nurse would provide immediate care based on priority to the

client with which condition?

• Second-degree burns
• Blunt abdominal trauma
• Closed fracture of the right arm
• Repeated tonic-clonic seizures

Answer D

• Which action would the nurse take first for a client with blunt abdominal trauma?
• Ensure a patent airway.
• Monitor the level of consciousness.
• Infuse warm normal saline solution.
• Maintain client warmth using blankets.

Answer A

• Which client would the triage nurse provide care to first based on condition? Client A- Severe

respiratory distress Client B- Chest pain resulting from trauma Client C- Hip fracture in older client

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