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A charge nurse is assisting in triaging clients following a mass casualty event in the community

Exhibits

Complete the following sentence by using the lists of options.

The nurse should apply a red tag to due to

their  
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

In mass casualty triage, clients are categorized using a color-coded tagging system to prioritize care based on the severity of injuries and the likelihood of survival with immediate treatment. The red tag is assigned to clients who have life-threatening but survivable injuries and require immediate medical attention.

Rationale

  • Client 1: Open head trauma, actively dying.
    ➤ This client is in the expectant (black tag) category. Although the injury is critical, the chance of survival is minimal even with treatment. Resources should be conserved for those more likely to survive.
  • Client 2: Sucking chest wound, difficulty breathing, HR 119, BP 97/65, RR 40, O2 sat 85%.
    ➤ This client has compromised airway and breathing, and is in respiratory distress but has a chance of survival with immediate intervention (e.g., chest seal, oxygen). This qualifies them for a red tag—immediate priority.
  • Client 3: Right ankle sprain and leg abrasions.
    ➤ Minor injuries, stable condition. This client would receive a green tag (walking wounded, delayed care).
  • Client 4: Partial leg amputation with tourniquet, thready pulse, low BP.
    ➤ This client is in shock but currently has no active bleeding due to a tourniquet. Though critical, they are more stable than Client 2. They may qualify for a yellow tag (delayed), unless signs of decompensation appear.


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Related Questions

Correct Answer is ["B","D","E"]

Explanation

A.It is the witnessing nurse’sresponsibility to report the incident, not the person who violated protocol.
B. Reporting the improper handling of a controlled substance helps ensure accountability, investigation, and risk management.
C.Filing an anonymous reportis not the most appropriate or accountable action. It may limit follow-up and clarity. Reporting should be done transparently through the proper chain of command.
D. Including witness names supports the integrity of the report and allows for thorough investigation.
E. Objective, detailed documentation is essential for accurate reporting and resolution of safety and legal concerns.

Correct Answer is D

Explanation

A.Planning budgets based only on average length of stay may overlook opportunities for cost reduction and efficiency improvements.
B.Staffing additional personnel increases costs rather than reducing them.
C.Budget planning should be collaborative; limiting it to senior management misses frontline insights.
D.Encouraging staff participation in quality improvement projects can enhance efficiency, reduce errors, and lower costs in acute care.

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