While triaging clients in a crowded emergency department, a nurse ...

[mspears3]

While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
 
  a. Apply oxygen via nasal cannula.
  b. Administer intravenous 0.9 saline solution.
  c. Transfer the client to a negative-pressure room.
  d. Obtain a sputum culture and sensitivity.

Question 2

A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first?
 
  a. A 22-year-old with a painful and swollen right wrist
  b. A 45-year-old reporting chest pain and diaphoresis
  c. A 60-year-old reporting difficulty swallowing and nausea
  d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101  F

[duy1981999]

Answer to Question 1

ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in a negative-pressure room to prevent contamination of staff, clients, and family members in the crowded emergency department.

Answer to Question 2

ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.

[mspears3]

Gracias!

[bulacsom]

TYSM