A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

A client who has a punctured femoral artery

A client who has an open fracture

A client who exhibits manifestations of multiple organ failure

A client who has several closed fractures with bruising

Answer and Explanation

The Correct Answer is A

A.   Emergent (red tag) category includes patients with life-threatening injuries requiring immediate attention, such as a punctured femoral artery.
B.   An open fracture may be urgent but not emergent unless associated with severe bleeding or other life-threatening complications.
C.   Manifestations of multiple organ failure are severe but may fall into the expectant (black tag) category.
D.   Closed fractures with bruising may be urgent but not emergent unless there are associated life-threatening complications.

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Correct Answer is C

Explanation

A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.

A. Albuterol B. Hydrocortisone sodium succinate C. Diphenhydramine D. Epinephrine

Correct Answer is D

Explanation

A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

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A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following of the following findings should the nurse expect?

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