A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?

Correct Answer: C

Rationale: In multiple trauma, quality of respirations and pulses (C) assess airway and circulation, per ABCs. LOC/pupils (A), pain/BP (B), and wounds (D) follow. C is correct. Rationale: Breathing and perfusion are immediate life threats in crush injuries, guiding resuscitation, per trauma triage standards.

Correct Answer: A

Rationale: As nurses advance in education, they are likely to develop a personal theory of nursing, integrating knowledge, experience, and values into a unique care philosophy. This evolution reflects deeper understanding of theoretical frameworks like Orem's self-care model and their application to practice, fostering professional identity. Losing critical thinking or interest in bedside nursing contradicts educational goals, which aim to sharpen skills and passion for client care. Enjoying paperwork might occur but isn't a primary outcome. Developing a personal theory empowers nurses to adapt care creatively, such as tailoring interventions to a client's cultural needs, enhancing both competence and advocacy in complex clinical settings.

Correct Answer: A

Rationale: Responding to a client's fear of radiation by suggesting ways to reduce it, while explaining the nurse must stay distant, balances empathy with safety. Radiation exposure risks prevent close contact, making hand-holding or permission-seeking impractical and hazardous. Dismissing fear invalidates the client's feelings. Offering alternatives like relaxation techniques addresses anxiety constructively, aligning with nursing's supportive role while adhering to radiation protocols.

Correct Answer: C

Rationale: Endocrine glands release hormones into the blood, unlike exocrine glands with ducts (sweat, sebaceous). They're epithelial-based. This educates clients on hormonal effects, a nursing teaching role.

Correct Answer: B

Rationale: Hyperpyrexia means a very high fever (e.g., 41°C), not bleeding, waxy muscles, or burns. Nurses recognize this for urgent temperature management.