A nurse employed in an emergency department (ED) on the evening shift is assigned to triage arriving clients. Which client should the nurse designate as the highest priority?

A nurse cares for clients during a community-wide disaster drill. Once of the clients asks, “Why are the individuals with blue tags not receiving any care?” How should the nurse respond?

An emergency department (ED) nurse receives a telephone call from the local police department and is told that several victims of an industrial explosion will be brought to the ED. Which action should the nurse take immediately?

To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action by the nurse is to

An emergency room nurse is caring for a trauma client. Which interventions should the nurse anticipate during the primary survey? (Select all that apply.)

A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Laboratory results include a CD4+ cell count of 180/mm3 and a pending tuberculosis (TB) skin test. What action should the nurse take first?

A nurse is triaging clients in the emergency department. Which client should the nurse classify as nonurgent?

A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client’s trachea but is unable to do so. Which action should the nurse take first?

While on a camping trip, a nurse cares for an adult client who had a drowning incident in a lake and is experiencing agonal breathing with a palpable pulse. Which action should the nurse take first?

On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which action should the nurse take?