Chapter 8: Concepts of Emergency and Trauma Nursing Ignatavicius

Chapter 8: Concepts of Emergency and Trauma Nursing Ignatavicius

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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 client’s care?
   1. Emergency medicine physician
   2. Case manager
   3. Forensic nurse examiner
   4. Psychiatric crisis nurse

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.

DIF:     Understanding/Comprehension         REF:    106                   KEY: Interdisciplinary team| emergency nursing                                                      MSC:             Integrated Process: Nursing Process: Planning                                            NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

2. The emergency department team is performing cardiopulmonary resuscitation on a client when the client’s spouse arrives at the emergency department. Which action should the nurse take first?
   1. Request that the client’s spouse sit in the waiting room.
   2. Ask the spouse if he wishes to be present during the resuscitation.
   3. Suggest that the spouse begin to pray for the client.
   4. Refer the client’s spouse to the hospital’s crisis team.

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.

DIF:     Applying/Application                         REF:    114

KEY:   Death| emergency nursing                 MSC:   Integrated Process: Caring

NOT:   Client Needs Category: Psychosocial Integrity

3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?
   1. A 30-year-old distraught mother holding her crying child
   2. A 65-year-old conscious male with a head laceration
   3. A 26-year-old male who has pale, cool, clammy skin
   4. 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.

DIF:            Applying/Application                         REF:    117

KEY:          Triage| emergency nursing

MSC:          Integrated Process: Nursing Process: Implementation           NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

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?
   1. Apply oxygen via nasal cannula.
   2. Administer intravenous 0.9% saline solution.
   3. Transfer the client to a negative-pressure room.
   4. Obtain a sputum culture and sensitivity.

ANS:           C

A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in a negative-pressure room to prevent contamination of staff, clients, and family members in the crowded emergency department.

DIF:            Applying/Application                         REF:    108                   KEY: Infection control| Transmission-Based Precautions| emergency nursing| staff safety MSC:           Integrated Process: Nursing Process: Implementation                                        NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control