Final Exam Prep Ah4 Questions And Answers

Exam 11. An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information should the nurse include in the nurse-to-nurse hand-off report? (Select all that apply.)a. Mechanism of injuryb. Diagnostic test resultsc. Immunizationsd. List of home medicationse. Isolation precautionsANS: A, B, EHand-off communication should be comprehensive so that the receiving nurse can continue care for the clientfluidly. Communication should be concise and should include only the most essential information for a safetransition in care. Hand-off communication should include the clients situation (reason for being in the ED), briefmedical history, assessment and diagnostic findings, Transmission-Based Precautions needed,interventions provided, and response to those interventions.2. Primary goal of triage by the nurse in the emergency department with Emergency Department patients?a. Other choiceb. Determine acuity of conditions and establish/prioritize carec. Other choiced. Assess ABCs and deficitsThe correct answer is B; D is incorrect because the D in ABCDE stands for disability not deficits3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?a. A 30-year-old distraught mother holding her crying childb. A 65-year-old conscious male with a head lacerationc. A 26-year-old male who has pale, cool, clammy skind. A