Chapter 10: Concepts of
Emergency and Trauma Nursing |
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1. While assessing a client in the emergency department, the
nurse identifies that the client has been raped. Which health
care team member should the nurse collaborate with when
planning this client's care?
a. Emergency medicine physician
b. Case manager
,c. Forensic nurse examiner
d. Psychiatric crisis nurse - ✔✔✔ANSWER-ANS: C
All other members of the health care team listed may be used in
the management of this client's 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. On admission to the emergency department, a client states
that he feels like killing himself. When planning this client's
care, it is most important for the nurse to coordinate with
which member of the health care team?
a. Case manager
b. Forensic nurse examiner
c. Physician
d. Psychiatric crisis nurse - ✔✔✔ANSWER-ANS: D
The psychiatric crisis nurse interacts with clients and families
in crisis. This health care team member can offer valuable
expertise to the emergency health care team, which also
includes the case manager and the physician.
3. The emergency department team is performing cardiopulmonary
resuscitation on a client when the client's spouse arrives at the
emergency department. What should the nurse do next?
a. Request that the client's 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 client's spouse to the hospital's crisis team. -
✔✔✔ANSWER-ANS: B
If resuscitation efforts are still under way when the family
arrives, 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.
4. The emergency department nurse is assigned an older adult
client who is confused and agitated. Which intervention should
the nurse include in the client's plan of care?
a. Administer a sedative medication.
b. Ask a family member to stay with the client.
c. Use restraints to prevent the client from falling.
d. Place the client in a wheelchair at the nurses' station. -
✔✔✔ANSWER-ANS: B
Older adults who are confused are at increased risks for falls. Fall
prevention includes measures such as siderails up, reorientation,
call light in reach, and, in some cases, asking the family member,
significant other, or sitter to stay with the client to prevent falls.
18. The nurse is triaging clients in the emergency department
(ED). Which is true about the presentation of client symptoms?