A triage nurse in the emergency department is responsible for ...

[itsmyluck]

A triage nurse in the emergency department is responsible for deciding who is seen firstthe most unstable patient versus the patient who is merely uncomfortable. Which of the following patients should be seen first by the emergency physicians?
 
  a. Patient scheduled to arrive by helicopter in acute chest pain with normal troponin levels at the originating hospital
  b. Patient dropped off by friends following a night of alcohol and drug use
  c. Patient who drove himself to the emergency department following a stab wound to the abdomen
  d. Patient who arrives with gastrointestinal bleeding whose blood pressure is 85/40 mm Hg and heart rate is 120 beats/min.

Question 2

What are five key categories of cultural competence of an organization?
 
  What will be an ideal response?

Question 3

What would a circulating nurse working in the operating room consider a priority for a patient undergoing an artificial valve replacement regarding providing documentation of artificial de-vices to the manufacturer?
 
  a. Counting sponges and sutures
  b. Completing forms for the artificial valve manufacturer
  c. Covering for the surgical technician breaks
  d. Assessment of lung sounds

[laurnthompson]

Answer to Question 1

D

Feedback
A This patient does not have priority over the patient in D.
B This patient does not have priority over the patient in D.
C This patient does not have priority over the patient in D.
D This patient is obviously in shock and should be seen urgently by an emergency physician.

Answer to Question 2

Correct answers will include the following points.
o organizational norms, principles and policies (e.g., cultural competence is an item in the organization's budget)
o asset and need identification
o human resources and management
o services and service delivery (e.g., translation and interpretation services)
o community consultation, partnership, and information exchange

Answer to Question 3

B

Feedback
A Although this is important in the surgical environment, this is not important in the case of a recall of the artificial device.
B Valve manufacturers must have records of all implanted devices for purposes of recall.
C Although this is important in the surgical environment, this is not important in the case of a recall of the artificial device.
D Although this is important in the surgical environment, this is not important in the case of a recall of the artificial device.