A group of victims from the school bus accident has arrived at the emergency department. Which victim should the nurse assess first?   Presenting Findings: Zane8-year-old male. Alert, oriented, wheezing bilaterally. He has an inhaler in his pocket.Danielle32-year-old female parent with a chest contusion and chest pain. She is oozing blood from a head laceration.Sara9-year-old female who is crying and holding her right arm. She has type 1 diabetes who is diaphoretic.John48-year-old male teacher who is Alert but screaming in severe pain with an obvious open fracture of the femur, bleeding controlled with direct pressure.   Allergies:No known allergiesPenicillinNo known allergiesAspirin   Heart Rate13070112110   Respiratory Rate30302822   Blood Pressure110/50 (70)100/52 mm Hg100/50 (57)110/70 mm Hg   Oxygen Saturation95% on 2L/NC85% on 100% non-rebreather mask95% on room air92% on 2L/NC   

A client arrives at the emergency department after a fall from a ladder. The client’s right lower leg is visibly deformed with marked tenderness and crepitus. The nurse notes the foot is pale and cool. The nurse is preparing to assist the healthcare provider with splinting, which action should the nurse complete first?

A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25,000 units in dextrose 5% in water (D5W) 500 mL. What is the calculated flow rate in mL/hr? Round to the nearest whole number

A client arrived at the urgent care center with tick bites. Which action will the nurse take first when caring for a client with a tick bite?

A nurse receives a phone call in which the caller claims there is a bomb in the hospital. The caller sounds calm but provides few details. Which action should the nurse take next?

A nurse receives a client in the emergency room who reports worsening abdominal pain after experiencing blunt abdominal trauma in a motor vehicle collision. Which diagnostic procedure would the nurse anticipate the healthcare provider to order to rule out a retroperitoneal bleed?

A nurse arrives at the scene of a multi-vehicle collision involving a school bus and several cars. The bus is on its side, and some children are standing nearby crying. The nurse sees downed power lines sparking near the bus. What is the priority action by the nurse?

A client’s core temperature has risen from 30°C to 32°C during active rewarming. Which new finding should cause the nurse to intervene immediately?

A tornado warning has been issued for the area. The nurse is preparing the unit. Which of the following interventions are appropriate?           Select all that apply

A client who sustained second- and third-degree burns over 49.5% of her total body surface area (TBSA), is admitted to the emergency department. She weighs 180 lb (81.8 kg) and has already received 2 L of IV fluids. According to the Parkland formula, the nurse calculates the total fluid requirement for the client over the next 24 hours. Which of the following is the correct amount of fluid to be infused during the first 8 hours after the initial fluid administration? (Round to the nearest whole number)