A client has been brought to the emergency department after being ...

[cherise1989]

A client has been brought to the emergency department after being shot multiple times. What action should the nurse perform first?
 
  a. Apply personal protective equipment.
  b. Notify local law enforcement officials.
  c. Obtain universal donor blood.
  d. Prepare the client for emergency surgery.

Question 2

A nurse works at a community center for older adults. What self-management measure can the nurse teach the clients to prevent shock?
 
  a. Do not get dehydrated in warm weather.
  b. Drink fluids on a regular schedule.
  c. Seek attention for any lacerations.
  d. Take medications as prescribed.

[hollysheppard095]

Answer to Question 1

ANS: A
The nurse's priority is to care for the client. Since the client has gunshot wounds and is bleeding, the nurse applies personal protective equipment (i.e., gloves) prior to care. This takes priority over calling law enforcement. Requesting blood bank products can be delegated. The nurse may or may not have to prepare the client for emergency surgery.

Answer to Question 2

ANS: B
Preventing dehydration in older adults is important because the age-related decrease in the thirst mechanism makes them prone to dehydration. Having older adults drink fluids on a regular schedule will help keep them hydrated without the influence of thirst (or lack of thirst). Telling clients not to get dehydrated is important, but not the best answer because it doesn't give them the tools to prevent it from occurring. Older adults should seek attention for lacerations, but this is not as important an issue as staying hydrated. Taking medications as prescribed may or may not be related to hydration.