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Exam (elaborations)

Prioritizing Care Level 1 & 2 Exam Questions And Answers Latest Update

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Prioritizing Care Level 1 & 2 Exam Questions And Answers Latest Update ...

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Prioritizing Care Level 1 & 2 Exam Questions And
Answers Latest Update


The registered nurse is caring for a client in the emergency department. Which
conditions of the client made the nurse stabilize the cervical spine as the primary
nursing intervention? Select all that apply. - ANSWER Correct1

Flail chest

Correct2

Head injuries

Correct3

Facial chemical burns

4

Renal colic pain

5

Blunt abdominal pain

Immediate care for a client with a head injury and facial chemical burns is stabilization
of the cervical spine because the client may suffer severe respiratory distress. Cervical
spine trauma should be suspected in any client with face, head, or neck trauma and
significant upper chest injuries, such as in flail chest. The nurse should stabilize the
cervical spine and or immobilize during assessment of the airway. Stabilization of the
cervical spine may not be required in a client with renal colic pain or with blunt
abdominal pain because the clients may not experience respiratory distress.



Which are considered as nurse competencies within the synergy model of care
delivery? Select all that apply. - ANSWER Correct1

Collaboration

Incorrect2

Care planning

3

Communication

, Correct4

Clinical judgment

Correct5

Cultural competency

The Synergy Model describes eight nurse competencies, which include collaboration,
clinical judgment, advocacy and moral agency, caring practices, facilitation of learning,
systems thinking, response to diversity (cultural competency), and clinical inquiry. Care
planning and communication are skills that every nurse should demonstrate regardless
of the care delivery system being implemented.



disaster triage tag system - ANSWER black - deceased

red - immediate

yellow - delayed (can wait)

green - minor



Which member of the healthcare team, when using the team nursing approach, is
responsible for prioritizing client care? - ANSWER Correct1

Team leader

2

Charge nurse

3

Licensed practical nurse

4

Unlicensed assistive personnel

When using the team nursing approach, the team leader, who is a registered nurse, is
responsible for coordinating a group of licensed and unlicensed personnel to provide
client care to a small group of clients, including the prioritization of client care. The
charge nurse is responsible for assigning team members to each team leader. The
licensed practical nurse and the unlicensed assistive personnel will receive their
assigned tasks and client care from the team leader.

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