A nurse encounters four patients after a mass casualty event. Who should be given the highest triage priority?
A patient with severe respiratory distress
In mass casualty triage (e.g. START), resources are directed to those who need immediate care and are most likely to survive.
A patient with severe respiratory distress has a life-threatening but potentially reversible airway/breathing problem — immediate (red) priority.
A fractured arm and minor lacerations are delayed or minor (yellow/green). A patient with no pulse or respiration in a mass casualty setting is classified as expectant/deceased (black), since resuscitation would divert scarce resources.
Hence, A patient with severe respiratory distress.
In a patient with a normal temperature and pulse but low blood pressure, which clinical condition should be considered first?
When caring for a patient with hypocalcemia, which symptom should the nurse closely observe?
A patient with a peptic ulcer is prescribed a proton pump inhibitor and advised to avoid NSAIDs. Which rationale best explains this combined approach?
A post operative patient is receiving dextrose 5% and 0.45 normal saline at 160 ml/hour. The nurse notices puffiness, weight gain of 2 kg and hypotension with complaints of muscle cramps and confusion. The serum sodium level is 126 mEq/L. Which of the following is the most likely cause of these findings?
A patient arrives with severe burns. After ensuring a patent airway, what is the next step in the emergency management?
During a morning assessment, a nurse notes that a patient has cool, clammy skin, a weak pulse, and decreased urine output. What is the most appropriate nursing action based on these findings?
A nurse is tasked with teaching newly diagnosed hypertensive patients about medication adherence. What approach reflects effective teaching responsibility?
A nurse is evaluating elimination needs of a patient with a newly established colostomy. Which action demonstrates best practice for promoting self-care?
During a complex surgical procedure, the surgical team realizes a critical piece of equipment is malfunctioning. What is the most appropriate action for the nurse in charge of operation theatre supplies?
During nebulization for a patient with chronic obstructive pulmonary disease (COPD), the nurse notes that the medication is not visibly misting. What is the best nursing action to address this issue?
In a patient with a normal temperature and pulse but low blood pressure, which clinical condition should be considered first?
When caring for a patient with hypocalcemia, which symptom should the nurse closely observe?
A patient with a peptic ulcer is prescribed a proton pump inhibitor and advised to avoid NSAIDs. Which rationale best explains this combined approach?
A post operative patient is receiving dextrose 5% and 0.45 normal saline at 160 ml/hour. The nurse notices puffiness, weight gain of 2 kg and hypotension with complaints of muscle cramps and confusion. The serum sodium level is 126 mEq/L. Which of the following is the most likely cause of these findings?
A patient arrives with severe burns. After ensuring a patent airway, what is the next step in the emergency management?