The nurse is a first responder after a gas explosion at an apartment complex. Which patient does the nurse mark to be treated first?

Patient with blistering of the lips and tongue whose voice is raspy and difficult to hear. The patient whose lips and tongue are blistered with a voice that is raspy and quiet likely sustained damage to the oropharynx and airway; this patient should be seen first to ensure the airway is maintained. The patient with the crushed pelvis and absent pedal pulses should be seen next (circulation). The patient with an open fracture of the femur who is diaphoretic and tachycardic (likely due to pain) can be seen next (disability). The patient with a scalp laceration and unequal pupil size with a Glasgow coma score of 12 likely has a coloboma or some other alteration to the pupil rather than head trauma. This patient can be seen for treatment of the scalp laceration after the less stable patients are treated.

The nurse is a first responder after a gas explosion at an apartm...

Category: Management of Care
Difficulty: 9

Topics: Cardiovascular Delegation, Prioritization and Leadership HEENT Assessment Cognition Communication & Documentation Crisis Management Disease Prevention Health Promotion Health Screening Inflammation Respiratory Tissue Integrity

Want help? View the answer with rationale.

Additional Management of Care Questions

The 22-month-old child is brought to the emergency department with large, blistered burns to both buttocks by his mother’s boyfriend. The mother’s boyfriend states the child has been in his care while the mother is away on a business trip. He reports the child accidentally fell into the bath during the preparation before the water had had a chance to cool. The child’s second-degree wounds are dressed after intravenous morphine is administered. The nurse works with the healthcare team to perform which intervention?

Question Type: Multiple Choice - Select One
Difficulty: 9

The unit is experiencing increased patient census. Which patients, if suggested for pairing with the 28-year-old patient with epilepsy, does the bedside nurse question? Select all that apply.

Question Type: Multiple Choice - Select All
Difficulty: 10

Which generation is known for being team-oriented, hardworking, efficient multi-taskers, and respectful of authority?

Question Type: Multiple Choice - Select One
Difficulty: 2

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Management of Care Questions

Nursing Careers

Nursing Degrees

NCLEX