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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. While sentimental, family possessions may not be practical in the context of immediate disaster preparedness.
B. Matches are useful for creating fire, providing warmth, and cooking in emergency situations.
C. Clean clothing is important for maintaining hygiene and protection from the elements.
D. Personal identification is crucial for identification, especially in situations where individuals may need to be evacuated or receive medical assistance.
E. Three quarts of water per person is essential for hydration and may be crucial in the absence of a clean water source during a disaster.
Correct Answer is A
Explanation
A. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.
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