Author Question: Which patient requires the most rapid assessment and care by the emergency department nurse? a. ... (Read 166 times)

rachel9 · **on:** Jun 25, 2018

Which patient requires the most rapid assessment and care by the emergency department nurse?

a. The patient with hemochromatosis who reports abdominal pain
b. The patient with neutropenia who has a temperature of 101.8 F
c. The patient with sickle cell anemia who has had nausea and diarrhea for 24 hours
d. The patient with thrombocytopenia who has oozing after having a tooth extracted

Question 2

Which patient should the nurse assign as the roommate for a patient who has aplastic anemia?

a. A patient with chronic heart failure
b. A patient who has viral pneumonia
c. A patient who has right leg cellulitis
d. A patient with multiple abdominal drains

Joy Chen · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
A neutropenic patient with a fever is assumed to have an infection and is at risk for rapidly developing sepsis. Rapid assessment, cultures, and initiation of antibiotic therapy are needed. The other patients also require rapid assessment and care but not as urgently as the neutropenic patient.

Answer to Question 2

ANS: A
Patients with aplastic anemia are at risk for infection because of the low white blood cell production associated with this type of anemia, so the nurse should avoid assigning a roommate with any possible infectious process.