The original version of the Affordable Care Act (ACA) included
You are a nurse working in the local hospital emergency department. You receive notice that there has been a gas explosion at a local warehouse. Five people will be arriving by ambulance. 1. Client with third-degree burns to right arm, chest, and right leg; 45% of body. Burns appear white with moderate edema, no blisters, and soft dry eschar. Client reports 9/10 pain to burned areas. Throat is dry and respirations are normal. 2. Client with shortness of air, RR 36, face blackened with soot, eyes red, coughing up black mucous, and voice is hoarse. Respiratory distress as a result of smoke inhalation. 3. Client with a severed left leg, bleeding profusely, is lethargic and skin is pale, cold and clammy. 4. Client with first-degree burn to left side of the neck. Skin bright red, tender to the touch, no blisters or eschar. Client reports 4/10 pain. 5. Client with multiple abrasions to face and hands. • Recognize Cues – List relevant subjective and objective assessment information related to each client’s condition. • Analyze Cues – What potential complications is each client at risk for? What are the physiological aspects of each client’s condition? • Prioritize Hypotheses – For each client, identify the top one problem. Under each, enter the supporting assessment information. Based on the brief assessment information, prioritize the clients using the emergency triage system (emergent, urgent, or delayed). What priority-setting frameworks did you use to establish each client’s priority problem? • Generate Solutions and Take Actions – For each client problem, identify important nursing interventions that should be taken to address it. What members of the interprofessional health care team will be essential in the care of each client? • Evaluate Outcomes – How will you know if the client’s status is improved, worsened, or unchanged
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