A trauma client with multiple open wounds is brought to the ...

[jazziefee]

A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?
 
  a. Contact the on-call orthopedic surgeon.
  b. Don personal protective equipment.
  c. Notify the Rapid Response Team.
  d. Obtain a complete history from the paramedic.

Question 2

A nurse is triaging clients in the emergency department. Which client should be considered urgent?
 
  a. A 20-year-old female with a chest stab wound and tachycardia
  b. A 45-year-old homeless man with a skin rash and sore throat
  c. A 75-year-old female with a cough and a temperature of 102  F
  d. A 50-year-old male with new-onset confusion and slurred speech

[Ashley I]

Answer to Question 1

ANS: B
Nurses must recognize and plan for a high risk of contamination with blood and body fluids when engaging in trauma resuscitation. Standard Precautions should be taken in all resuscitation situations and at other times when exposure to blood and body fluids is likely. Proper attire consists of an impervious cover gown, gloves, eye protection, a facemask, a surgical cap, and shoe covers.

Answer to Question 2

ANS: C
A client with a cough and a temperature of 102  F is urgent. This client is at risk for deterioration and needs to be seen quickly, but is not in an immediately life-threatening situation. The client with a chest stab wound and tachycardia and the client with new-onset confusion and slurred speech should be triaged as emergent. The client with a skin rash and a sore throat is not at risk for deterioration and would be triaged as nonurgent.