What intervention takes top priority at the end of a nurse's shift on the pediatric unit?

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Question 1 of 5

What intervention takes top priority at the end of a nurse's shift on the pediatric unit?

Correct Answer: C

Rationale: Documentation should take top priority. Documentation is the only way the nurse can legally claim that interventions were performed.

Question 2 of 5

What is the best method for the nurse to assess a client's pain level?

Correct Answer: A

Rationale: Asking the client to rate pain on a scale provides a quantitative measure of pain intensity, facilitating effective pain management.

Question 3 of 5

What is the most important action for the nurse to take when caring for a client with a suspected fracture?

Correct Answer: D

Rationale: Assessing neurovascular status ensures adequate circulation and nerve function, preventing complications such as compartment syndrome.

Question 4 of 5

What is the priority nursing action when caring for a client with a suspected ectopic pregnancy?

Correct Answer: C

Rationale: Preparing for surgery is critical as ectopic pregnancy can lead to life-threatening hemorrhage if not promptly treated.

Question 5 of 5

The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color?

Correct Answer: B

Rationale: The red tag is assigned because the victim was not breathing initially but resumed breathing after airway repositioning, indicating a critical condition that requires immediate attention per the START method.

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