A Triage Nurse Is Assessing a Client Who Complains of 6/10

question 8

Multiple Choice

A triage nurse is assessing a client who complains of 6/10 abdominal pain and states, "I had a temperature of 40.3°C (104.5°F) at home." Which of the following actions should the nurse implement first?

• A)Assess the client's current vital signs.
• B)Obtain a clean-catch urine for urinalysis.
• C)Tell the client that it may be several hours before being seen by the doctor.
• D)Ask the health care provider to order an analgesic medication for the client.

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Definitions:

Cosmic Theory

Cosmic Theory relates to hypotheses and models that describe the origin, development, and larger structures of the cosmos.

Self-Consciousness

The awareness of oneself as an individual, including one's thoughts, feelings, and physical presence.

Adaptive Efforts

Activities or changes made by individuals or systems in response to environmental or situational demands to maintain or improve functioning.

Adaptive Responses

Behaviors or changes that allow an organism or system to adjust to new conditions or to preserve functionality in the face of external challenges.