A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?

Correct Answer: C

Rationale: The correct answer is C. Transferring a client to the discharge location would be the lowest priority for the nurse during a disaster simulation. Priority should be given to immediate actions that ensure the safety and well-being of all clients. Here's a step-by-step rationale: 1. Preventing cross-contamination (choice A) is crucial to prevent the spread of the toxic substance. 2. Performing concise client assessment (choice B) is essential to identify and prioritize care for clients based on their needs. 3. Maintaining a client tracking system (choice D) is vital for ensuring accountability and continuity of care. 4. Transferring a client to the discharge location (choice C) can be delayed as it is not immediately life-threatening or crucial for the initial response.

Correct Answer: C

Rationale: The correct answer is C: Assessing a client's sacrum for edema. The nurse should plan to perform this task as it requires clinical judgment and assessment skills, which are within the scope of nursing practice. The nurse can identify early signs of skin breakdown and provide appropriate interventions. Explanation of other choices: A: Administration of an enema - This task can be safely delegated to an assistive personnel as long as the client's condition is stable. B: Application of antiembolic stockings - This task does not require clinical judgment and can be delegated to an assistive personnel. D: Assisting a client to cough and deep breathe - This task can be delegated to an assistive personnel as long as the client's condition is stable.

Correct Answer: B

Rationale: The correct answer is B: Leave the pimple. Pinching a pimple can lead to inflammation, scarring, and further spread of bacteria. Leaving the pimple allows it to heal naturally, reducing the risk of complications. It is important to practice gentle skincare to promote healthy skin and avoid causing damage or irritation. Other choices are incorrect as they involve actions that can harm the skin and worsen the condition.

Correct Answer: C

Rationale: The correct answer is C: Data saturation. In qualitative research, data saturation is the point where new data no longer brings additional insights or changes in themes. This principle guides sample size determination as it ensures enough data is collected to reach this saturation point, leading to a comprehensive understanding of the phenomenon under study. Effect size (A) is more relevant in quantitative research, while the number of variables (B) and sub-group analysis (D) are factors that may influence the complexity of the study but are not directly related to determining sample size in qualitative research.

Correct Answer: B

Rationale: The correct answer is B: Prepare to assist with chest tube insertion. Chest pain and difficulty breathing after subclavian central venous catheter insertion could indicate a pneumothorax, a serious complication where air enters the pleural space causing lung collapse. Administering oxygen is important to support oxygenation, but the next priority is to address the potential pneumothorax. Inserting a chest tube helps drain the air from the pleural space and re-expand the lung, stabilizing the client's condition. Sublingual nitroglycerin is not indicated for this situation as it is used for chest pain related to cardiac issues. Placing a sterile dressing over the IV site and re-positioning into Trendelenburg position are not appropriate actions for managing a suspected pneumothorax.