Prioritizing Care
Which health care providers should be considered when filling a position as case manager for a community health care center? Select all that apply. 1. Social worker 2. Registered nurse 3. Physician assistant 4. Respiratory therapist 5. CNA
1, 2
The registered nurse is caring for a client in the emergency department. Which conditions of the client made the nurse stabilize the cervical spine as the primary nursing intervention? Select all that apply. 1. Flail Chest 2. Head Injuries 3. Facial chemical burns 4. Renal colic pain 5. Blunt abdominal pain
1, 2, 3, Immediate care for a client with a head injury and facial chemical burns is stabilization of the cervical spine because the client may suffer severe respiratory distress. Cervical spine trauma should be suspected in any client with face, head, or neck trauma and significant upper chest injuries, such as in flail chest
Which nursing intervention for opening the airway should be performed in an unconscious client with a spinal injury? 1. Performing a jaw thrust maneuver 2. Preparing for a needle thoracostomy 3. Initiating cardiopulmonary resuscitation 4. Providing oxygen via a nonrebreather mask
1, jaw thrust is performed by placing fingers behind angle of lower jaw and lifting
What is a high priority assignment in an emergency department when a nurse is providing care for clients during a mass casualty? 1. Resolving stock availability problems 2. Taking inventory and restocking supplies 3. Debriefing to promote effective coping strategies 4. Outlining emergency expectations and arrangements
2, A high priority assignment in an emergency department during a mass casualty is taking inventory and restocking supplies
What is the priority nursing intervention for a client bitten by a snake? 1. Sucking the bitten area 2. Offering alcohol to the client 3. Applying ice to the affected area 4. Immobilizing the effected extremity using a splint
4, immobilize the affected extremity using a splint because this may limit the spread of venom
AVPU stands for
Alert, Verbal, Pain, Unresponsive, helps assess the responsiveness to pain and voice
5 Level Emergency Severity Index (ESI)
Level 1: life-threatening conditions such as cardiac arrest, needs immediate treatment within 5 min Level 2: multiple traumas, needs treatment within 10 min Level 3: treat within 1 hour Level 4: treatment can be delayed for longer Level 5
functional nursing model
assign specific tasks to staff, works well in emergency and disaster situations
Symptoms of hyperglycemia
extreme thirst (polydipsia), frequent urination (polyuria), dry skin, hunger (polyphagia), blurred vision, drowsiness, nausea
