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Question 1 of 5

After a train accident, the nurse is assigned to triage the injured. Based upon the triage protocol, which individual should be seen last?

Correct Answer: C

Rationale: Triage prioritizes life-threatening conditions. The 25-year-old with minor injuries (abrasion, swollen ankle) is the least urgent compared to potential cardiac, neurological, or traumatic injuries.

Question 2 of 5

Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?

Correct Answer: B

Rationale: Meningitis in infancy can cause neurological damage, correlating with cerebral palsy.

Question 3 of 5

A 2-month-old boy with a temperature of 102°F (39°C) is brought to the emergency department by his mother. The mother tells the nurse that her son had a DPT injection one week ago, and asks if this fever is related to the immunization. The nurse’s response should be based on the knowledge that

Correct Answer: C

Rationale: low-grade fever and irritability frequent response to immunization

Question 4 of 5

Which action by the healthcare worker indicates a need for further teaching?

Correct Answer: D

Rationale: Wearing gloves to monitor the IV infusion rate is unnecessary unless contact with bodily fluids is anticipated, indicating a need for further teaching on infection control.

Question 5 of 5

The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:

Correct Answer: A

Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.

Similar Questions

The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?
A 28-year-old woman with Guillain-Barre syndrome has been intubated and is on mechanical ventilation due to ascending paralysis. She has become increasingly worried and upset as the day has gone on. What would be the best response by the nurse to help the woman cope?
The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:
A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:

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