Question 1

The nurse is planning to conduct research on the top 10 most common reasons for visiting the emergency department. Which chief complaints would the nurse include in this work?. Select all that apply.

Accepted Answer

The answer of The nurse is planning to conduct research...

Question 2

A nurse who has worked in the hospital for 10 years has committed to a new job in the emergency department. The nurse should expect to attend which courses to help prepare for this position?. Select all that apply.

Accepted Answer

The nurse should attend ACLS, PALS, TNCC, and ENPC courses as they provide essential skills and knowledge for handling adult and pediatric emergencies, trauma care, and critical situations in the emergency department.

Question 3

Workmen preparing to paint have set up equipment near the emergency department entrance and have taken down all the signage. What is the primary reason the nurse manager is concerned when this is mentioned in the shift report?

Accepted Answer

The answer of Workmen preparing to paint have set up...

Question 4

The nurse manager makes a quick visit with patients in the emergency department (ED) waiting area. The manager is concerned about one patient who was originally assigned nonurgent status, even though there is no specific change from the triage assessment. What action should the manager take?

Accepted Answer

If the nurse manager has concerns about the patient, it is important to take action to ensure the patient's needs are met. Changing the triage tag to urgent will alert the ED staff to prioritize the patient's care and potentially lead to faster treatment. Simply checking on the patient in another 15 minutes or telling the admittance clerk to keep an eye on the patient may not provide sufficient action if the patient's condition worsens. Blaming the concern on the number of patients waiting is not a proactive solution to address the patient's potential needs.

Question 5

The nurse is concerned that the chain of custody for evidence collected in the emergency department may have been breached. Which situation would support the nurse's concern?. Select all that apply.

Accepted Answer

A) Leaving evidence unattended at the foot of the patient's bed risks tampering or contamination. C) Leaving evidence at a busy nurses' station is not secure and risks unauthorized access. E) Hanging wet clothing to dry before bagging can alter the evidence, compromising its integrity.

Question 6

Nursing administrators are trying to decide if they want a "traffic director," "spot check," or "comprehensive" form of triage in the emergency department. What information should be considered when making this decision?Select all that apply.

Accepted Answer

The answer of Nursing administrators are trying to decide if...

Question 7

The nurse has removed clothing with gunshot residue from a murder victim. What information should the nurse include when labeling the bag containing this clothing?. Select all that apply.

Accepted Answer

The nurse should include the patient's name, date, time, and the name of the person who collected the evidence to ensure proper identification, chain of custody, and documentation of when and by whom the evidence was collected.

Question 8

A patient has returned to the emergency department (ED) numerous times over the past 3 months. The patient has newly diagnosed diabetes and cannot afford testing supplies. Which ED nurse referral is indicated?

Accepted Answer

A case manager would be the most appropriate referral in this situation, as they can help the patient connect with resources and assistance programs to obtain testing supplies outside of the ED. A nurse educator may also be helpful in educating the patient on self-management of their diabetes, but may not be able to address the immediate need for testing supplies. ENPs and ECNSs have specialized training in emergency medicine, but may not have the specific expertise or resources to address the patient's financial barrier to obtaining supplies.

Question 9

A patient is admitted to the emergency department with multiple wounds inflicted by an unknown assailant. What action should the nurse take?

Accepted Answer

Changing gloves often during patient care is crucial to prevent cross-contamination and infection, especially when dealing with multiple wounds.

Question 10

A patient being cared for in the emergency department (ED) will require endoscopy to remove a foreign object from the esophagus. Whose responsibility is it to obtain informed consent for this procedure?

Accepted Answer

The health care provider performing the procedure has the responsibility to obtain informed consent as they are the ones performing the procedure and have the expertise to explain the risks and benefits to the patient.

Question 11

A 17-year-old unmarried female presents to the emergency department and says, "I am pregnant and I have a urinary tract infection." There is no parent present. How should the nurse proceed regarding consent?

Accepted Answer

The nurse should refer to the hospital policy and procedure manual about conditions of consent. The patient is a minor and may not be able to legally consent to treatment without parental or legal guardian consent. Hospital policies will outline consent procedures for minors seeking medical treatment.

Question 12

The emergency department (ED) nurse is using the CIAMPEDS mnemonic to triage an 8-year-old patient. Which questions would the nurse ask? Select all that apply.

Accepted Answer

The answer of The emergency department (ED) nurse is using...

Question 13

A patient is being transferred from the emergency department to another hospital. The nurse would expect which conditions to be documented before this transfer occurs?. Select all that apply.

Accepted Answer

Before transferring a patient from one hospital to another, it is important to document the reasons for the transfer, including that the current facility is unable to provide the necessary care (A), that the medical benefits of the transfer outweigh the risks (B), that a medical screening exam has been conducted (C), and that the appropriate level of care will be provided during the transfer (E). It is not necessary for there to be no physician with admitting privileges at the current hospital (D) in order for a patient to be transferred.

Question 14

A hospital nurse administrator is working to help the emergency department meet the Institute of Medicine (IOM) recommendations for emergency care. Which initiatives should be included in this work?Select all that apply.

Accepted Answer

These initiatives are all consistent with the IOM recommendations for emergency care, which include:- Improving patient flow- Providing timely and appropriate care- Ensuring patient safety- Advocating for payment for all ED care provided

Question 15

The patient signed a consent for treatment when admitted to the emergency department. This consent would allow which procedures?. Select all that apply.

Accepted Answer

The patient's consent for treatment typically covers routine procedures such as obtaining vital signs, drawing lab work, administering medications, and performing diagnostic imaging such as x-rays without contrast. However, procedures such as endoscopy may require additional informed consent due to other risks and considerations.

Quiz 66: Caring for the Patient in the Emergency Department