Which of these children at the site of a disaster at a child day care center would the triage nurse put in the treat last" category?"

Correct Answer: B

Rationale: The correct answer is B because the toddler with severe deep abrasions over 98% of the body would be categorized as "treat last" in triage. This decision is based on the principle of prioritizing care based on the severity of injuries. Severe deep abrasions over a large body surface area indicate a critical condition that requires immediate medical attention to prevent complications like infection or shock. The other choices do not present as immediate life-threatening conditions as the severe abrasions, hence they would not be categorized as "treat last." The infant with bulging anterior fontanel may have a concerning sign, but it does not indicate an immediate life-threatening condition. The preschooler with leg fractures and school-age child with singed hair also do not present as critical as the toddler with severe abrasions.

Correct Answer: B

Rationale: The correct answer is B: Ask the patient to sign a consent form for the procedure. This step is crucial to ensure that the patient understands the risks and benefits of the thoracentesis procedure and gives informed consent. Signing a consent form also protects both the patient and the healthcare provider legally. A: Reminding the patient to eat or drink nothing for six hours before the procedure is not necessary for a thoracentesis, as it is not typically a procedure that requires fasting. C: Positioning the patient on the side of the bed leaning over the bedside table is not correct for a thoracentesis procedure. The patient should be sitting upright or slightly leaning forward to facilitate the procedure. D: Pulling the privacy curtain and dimming the lights of the room are not essential steps for preparing a patient for a thoracentesis. These actions are more related to creating a comfortable and private environment but are not directly related to the procedure itself.

Correct Answer: A

Rationale: The correct answer is A: A standard written order. This is because a standard written order specifies the medication, dose, route, frequency, and duration of administration. In this case, the order for ampicillin 500 mg by mouth every 6 hours is clearly outlined and does not specify any special circumstances like a one-time dose or immediate administration (stat order). Additionally, it is not an as-needed order which would only be given based on the patient's symptoms or condition. It also does not qualify as a single order as it is intended to be administered multiple times at specified intervals.

Correct Answer: C

Rationale: To determine the correct answer, we first calculate the total micrograms the patient should receive in one hour. 1. Multiply the patient's weight (50 kg) by the infusion rate (4 mcg/kg/min) to get the total micrograms/min: 50 kg * 4 mcg/kg/min = 200 mcg/min. 2. To find the total micrograms in one hour, multiply the micrograms/min by 60 minutes: 200 mcg/min * 60 min = 12000 mcg. Therefore, the patient should receive 12,000 micrograms in one hour, making choice C the correct answer. Explanation for incorrect choices: A: 200 - This is the total micrograms per minute, not for the whole hour. B: 1200 - This is close to the correct answer, but it doesn't account for the full hour. D: 0 - This is incorrect as the patient should receive medication over the hour.

Correct Answer: D

Rationale: The correct answer is D because performing postural drainage before the client takes his meal helps prevent aspiration during the procedure. Aspiration can occur if the patient has recently eaten, increasing the risk of food or liquid entering the lungs. Choices A, B, and C are incorrect because drinking water before the procedure, suctioning the patient, or asking about comfort positions are not directly related to preventing aspiration during postural drainage.