Which procedure should the nurse follow for assessing a client's eye in an emergency? - Answers
PERRLA+C procedure.
What statements present accurate information about the concepts of triage? (SATA) - Answers 1)
process of sorting and classifying to determine priority of needs.
2) contains disaster plan initiated when an accident involves multiple victims.
3) process of victim identification so next of kin can be notified.
A nurse in a healthcare facility receives a call that the facility will be bombed. What action should the
nurse take after receiving the bomb threat? - Answers notify the facility's security personnel.
The nurse is reviewing with the client the use of the emergency signal in the client's bathroom. What
instructions should the nurse review with the client about the use of the emergency signal?
1. Causes a light to flash or a buzzer to sound at a central nurse's station.
2. Use when experiencing difficulty while in the bathroom.
3. Staff will respond to the signal within 5 minutes.
4. Used by staff to request immediate assistance. - Answers 1, 2, 4.
What common signal would the nurse in a hospital setting initiate for a cardiopulmonary emergency? -
Answers code blue.
What intervention should the nurse implement when caring for the client experiencing a
pneumothorax? - Answers seal wound using petroleum jelly gauze.
For which sign of rising intracranial pressure should the nurse monitor when caring for a client who has
sustained a head injury? - Answers persistent vomiting.
What type of assessment involves taking and recording the victim's vital signs and performing a head-to-
toe assessment? - Answers secondary.
A nurse is evaluating a client's risk of falling. What is a key way that the nurse could review with a
nursing student that would quickly identify a client's risk of falling? - Answers falling star sign outside the
room.
A nurse is caring for a client who has been diagnosed with hypovolemic shock. Which diagnostic
procedure should the nurse review to obtain additional information about the client's condition? (SATA)
- Answers serum electrolyte levels.
hemoglobin level.