Author Question: An unconscious client is admitted through the emergency department. Identification of the client ... (Read 45 times)

geodog55 · **on:** Jul 24, 2018

An unconscious client is admitted through the emergency department. Identification of the client should be:

A. Determined only when the client is able
B. Postponed until family members arrive
C. Provided by the rescue squad personnel
D. Determined before starting treatment

Question 2

The nurse has been caring for a patient who has had a central venous catheter in place. The patient complains of sudden chest pain and difficulty breathing. Which assessment finding warrants immediate intervention by the nurse?

a. Exit site infection
b. Catheter-related sepsis
c. Pneumothorax
d. Hyperglycemia

mcinincha279 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
B. Family members can identify the client after they arrive.
A. Waiting for the client to identify himself or herself could cause unnecessary delays, depending on the client's condition.
C. Rescue squad personnel are not always able to identify a client.
D. Emergency treatment can be started before identification of the client.

Answer to Question 2

C
Symptoms of pneumothorax include sudden chest pain, difficulty breathing, decreased breath sounds, cessation of normal chest movement on the affected side, and tachycardia. Symptoms of exit site infection include erythema, tenderness, induration, or purulence within 2 cm of the skin at the exit site. Symptoms of catheter-related sepsis include isolation of the same microorganism from a blood culture and catheter segment, with the patient showing fever, chills, malaise, and elevated white blood cell count. Symptoms of hyperglycemia include excessive thirst, urination, blood glucose greater than 160 mg/100 mL, and confusion.