The nurse is caring for patients in the emergency department which patient does the nurse see first

Removing the stinger with tweezers may have caused additional venom to be released into the body. This would increase the severity of the reaction as seen with the nausea, syncope, and breathing difficulties. Therefore, the priority intervention would be to administer epinephrine to treat the reaction. Cool compresses, administering diphenhydramine, and elevating the arm are all appropriate treatments if the reaction is mild, that is, stinging, swelling, headache, and so forth.
Text Reference - p. 1687

A body temperature greater than 104° F with shivering, an increased respiratory rate, hypotension, myoglobinuria, hallucinations, combativeness, and loss of coordination are clinical presentations of heatstroke. Chlorpromazine (Thorazine) can effectively reduce shivering in the patient. Therefore, the nurse will administer this medication to the patient. The patient with myoglobinuria is characterized by tea-colored urine. Therefore, the nurse will check whether the patient's urine is tea colored. The nurse obtains blood-clotting studies in the patient to monitor for signs of disseminated intravascular coagulation (DIC). Heatstroke is also characterized by decreased electrolytes, particularly sodium levels. Therefore, the nurse administers fluids and electrolytes to the patient. Antipyretics reduce the body temperature that is elevated due to infection, but not temperature due to heatstroke. Therefore, antipyretics do not help to reduce this patient's body temperature. Salt tablets can cause gastric irritations and hypernatremia in the patient. Therefore they should not be administered to the patient.

Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation.
Text Reference - p. 1683

Sets with similar terms

How are ER patients prioritized?

The triage registered nurse might assign you a priority level based on your medical history and current condition according to the following scale: Level 1 – Resuscitation (immediate life-saving intervention); Level 2 – Emergency; Level 3 – Urgent; Level 4 – Semi-urgent; Level 5 – Non-urgent.

What is the order of triage?

Triage of patients involves looking for signs of serious illness or injury. These emergency signs are connected to the Airway - Breathing - Circulation/Consciousness - Dehydration and are easily remembered as ABCD.

What usually happens after a patient is seen in an emergency department ED )?

After you explain your emergency, a triage nurse will assess your condition. You will be asked to wait or go immediately to an exam room, depending on the severity of your illness or injury. Once inside the exam room, a nurse will ask you a few questions and then fill out paperwork for the doctor to review.

Which of the following is the primary role of the triage nurse in the emergency department?

Job Summary: The Triage Nurse will provide professional nursing assessments, prioritize treatments according to the urgency of need, and initiate medical care to patients arriving at the emergency department.