A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?
A client who has a sprained left ankle.
A client who has an open traumatic brain injury and agonal breaths.
A client who has sustained a partial amputation of the right leg.
A client who is deceased.
A client who has sustained a major burn to the upper torso and extremities.
The Correct Answer is B
A. A client who has a sprained left ankle is typically categorized as a lower priority in triage.
B. A client who has an open traumatic brain injury and agonal breaths should be assigned a red tag and indicates immediate or emergent care; this client requires immediate attention.
C. A client who has sustained a partial amputation of the right leg requires urgent care but may not be as immediately life-threatening as option B.
D. A client who is deceased typically does not receive further medical intervention in a mass casualty situation.
E. While serious, the severity may not necessitate immediate intervention compared to option B.
F. This is typically categorized as a lower priority in triage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Limiting the number of health care workers entering the room helps reduce the risk of exposure to infections.
B. Inserting an indwelling catheter is not a routine intervention for immunosuppressed clients and may increase the risk of infection.
C. Monitoring temperature more frequently than once per shift is crucial to detect early signs of infection in immunosuppressed clients.
D. Fresh fruit may carry a risk of bacterial contamination, and caution should be exercised in providing it to immunosuppressed clients.
Correct Answer is D
Explanation
A. Surgical site infections are not specifically included in the HACRP but are significant in HAI prevention.
B. Catheter-associated urinary tract infections (CAUTIs) are not explicitly included in the HACRP but are important in HAI prevention.
C. Peripheral IV-related infections are not specifically included in the HACRP.
D. Central line-associated bloodstream infections (CLABSIs) are specifically targeted by the HACRP.
E. Infections related to chest tubes are not specifically included in the HACRP.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.