Exam 2. Chapter 67:
Emergency Nursing
Which client should the nurse prioritize as needing emergent treatment,
assuming no other injuries are present except the ones outlined?
A. A client with a blunt chest trauma with some difficulty breathing
B. A client with a sore neck who was immobilized in the field on a
backboard with a cervical collar
C. A client with a possible fractured tibia with adequate pedal pulses
, D. A client with an acute onset of confusion - ANSWER ✔✔A. A client
with a blunt chest trauma with some difficulty breathing
A client has sustained multiple injuries from a gunshot wound while
hunting in cold winter weather. The client has waited several hours for
rescue and is transported in a helicopter to the emergency department.
The nurse recognizes what additional factors are associated with
increased mortality for this client?
A. Time of injury, hyperhidrosis, and thermal changes
B. Comorbidities, location of injury, and gravitational forces
C. Hypothermia, acidosis, and coagulopathy
D. Venous insufficiency, barometric changes, and fatigue - ANSWER
✔✔C. Hypothermia, acidosis, and coagulopathy
The nurse is admitting a client who is suspected of having heat stroke.
What assessment finding would be most consistent with this diagnosis?
A. Widening pulse pressure
B. Hot, dry skin
C. Core body temperature of 99.0°F/37.2°C