a. Pastoral care
b. Case manager
c. Forensic nurse examiner
d. Law enforcement
a. Case manager
b. Forensic nurse examiner
c. Law enforcement
d. Psychiatric crisis nurse
a. Request that the client’s spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client’s spouse to the hospital’s crisis team.
a. Administer a sedative medication.
b. Ask a family member to stay with the client.
c. Use restraints to prevent the client from falling.
d. Place the client in a wheelchair at the nurses’ station.
a. Triage the client to determine the urgency of care.
b. Clearly communicate client data to the medical-surgical unit nurse.
c. Evaluate the need for ongoing medical treatment.
d. Perform a thorough assessment of the client.
a. Older adults
b. Immunocompromised people
c. Pediatric clients
d. Underinsured people
a. 22-year-old with a painful and swollen right wrist
b. 45-year-old reporting severe chest pain and diaphoresis
c. 60-year-old reporting nausea
d. 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F
a. Chest pain and diaphoresis
b. Decreased breath sounds due to chest trauma
c. Left arm fracture with palpable radial pulses
d. Sore throat and a temperature of 104° F
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 best neurologic response
a. Splint the right lower extremity.
b. Apply direct pressure to the leg.
c. Assess for a patent airway.
d. Start two large-bore IVs.
a. Administer prescribed anti-anxiety drugs.
b. Decrease the noise level and the harsh lighting.
c. Remove oxygen tubing from the room.
d. Set firm behavioral limits.
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
a. 20-year-old female with a leg stab wound and tachycardia
b. 45 year-old homeless man with a skin rash and sore throat
c. 75-year-old female with a cough and of temperature of 102° F
d. 50-year-old male with new-onset confusion and slurred speech
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the grieving family.
d. Communicate the client’s death to the family in a simple and concrete manner.
a. “Only emergency medicine physician coordinates care with all levels of the emergency health care team.”
b. “Emergency departments have specialized teams that deal with high-risk populations of patients.”
c. “Many older adults seek emergency services when they are ill because they do not want to bother their primary health care provider.”
d. “Emergency departments are responsible for public health surveillance and emergency disaster preparedness.”
a. Place the client on a non-rebreather mask.
b. Begin bag-valve-mask ventilation.
c. Initiate cardiopulmonary resuscitation.
d. Prepare for chest tube insertion.
a. Older adults frequently have symptoms that are vague or less specific.
b. Young adults present with nonspecific symptoms for serious illnesses.
c. Diagnosing children’s symptoms often keeps them in the ED longer.
d. Symptoms of confusion always represent neurologic disorders.
a. Treat clients on a first-come, first-serve basis.
b. Identify and treat clients with low acuity first.
c. Prioritize clients based on illness severity.
d. Determine health needs from a complete assessment.
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
b. Vital signs
d. Marital status
e. Isolation precautions
a. Reconcile the client’s prescription and over-the-counter medications
b. Screen the client for functional and cognitive abilities, as well as risk for falls
c. Consult physical therapy to organize for nutrition services
d. Arrange for the client’s car keys to be taken to prevent an accident
e. Review discharge instructions with the client and a family member
a. Removing wet clothing
b. Casting open fractures
c. Initiating IV fluids
d. Endotracheal intubation
e. Foley catheterization
a. A 50-year-old with chest trauma and difficulty breathing
b. A mother frantically looking for her 6-year-old son
c. An 8-year-old with a broken leg in his father’s arms
d. A 60-year-old with facial lacerations and confusion
e. A pulseless male with a penetrating head wound
a. Pink and warm to the touch
b. Pale and cool to the touch
c. Dark pink and dry to the touch
d. Pink and slightly moist to the touch
a. IV morphine
b. 650 mg of acetaminophen
d. 600 mg of ibuprofen
a. The patient complains of pain
b. The patient appers confused
c. The patients blood pressure is 136/88
d. The patient voided using the bed pan
a. A 42 year old patient with carpel tunnel syndrome who complained of pain
b. A 64 year old patient with osteoperosis who is waiting for discharge
c. A 28 year old patient with a fracture complaining that the cast is too tight
d. A 56 year old patient with a leg amputation complaing of phantom pain
a. Encourages the LNA to go from a lying to a standing position
b. Administer pain medication prior to doing exercises
c. Explains to the family of the patient the exercise program
d. Reminds patient of correct use of crutches
a. To attain pain control for phantom pain
b. To monitor for signs of sufficient tissue perfusion
c. To assist the patient to ambulate as soon as possible
d. To elevate the risidual limb the the patinet is supine
a. Phantom limb pain is not explained or predicted by any one theory
b. Phantom limp pain because your body thinks your limb is still present.
c. Phantom limb pain will not interfere with you activities of daily living.
d. Phantom limb pain is not real pain but remembered pain.
a. You should get the prosthesis so that you can walk again
b. Wait and ask your doctor that question the next time he comes in.
c. Its too soon to be thinking about getting a prosthesis
d. Ill ask the nurse to come in and discuss this with you
a. The patient reports of pressure and pain
b. The cast is in place and is dry and intact
c. The skin is pink and warm to touch
d. The patient can move all fingers and toes