Concepts of Emergency and Trauma Nursing (Concepts for Interprofessional Collaborative Care College Test

Concepts of Emergency and Trauma Nursing (Concepts for Interprofessional Collaborative Care College Test
Chapter 08: Concepts of Emergency and Trauma Nursing
MULTIPLE CHOICE
1. An emergency room nurse assesses a client who has been raped. With which health care team member
should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
ANS: C
All other members of the health care team listed may be used in the management of this clients care. However,
the forensic nurse examiner is educated to obtain client histories and collect evidence dealing with the assault,
and can offer the counseling and follow-up needed when dealing with the victim of an assault.
2. The emergency department team is performing cardiopulmonary resuscitation on a client when the clients
spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team.
ANS: B
If resuscitation efforts are still under way w h e
Nn
Ut h
Re
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I
a
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Ba
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Oi vMe s , one or two family members may be given
the opportunity to be present during lifesaving procedures. The other options do not give the spouse the
opportunity to be present for the client or to begin to have closure.
3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care
first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
ANS: C
The client with pale, cool, clammy skin is in shock and needs immediate medical attention. The mother does
not have injuries and so would be the lowest priority. The other two people need medical attention soon, but
not at the expense of a person in shock.
4. 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.

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