A nurse is performing triage on the incident scene for 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 fractured fibula and tibia

A client who has sustained a major burn to their upper torso and extremities

A client who has a sprained ankle and laceration to the lower leg

A client who has an open traumatic brain injury and agonal breaths

Answer and Explanation

The Correct Answer is D

A. A client who has a fractured fibula and tibia: This is incorrect. While serious, this injury does not require immediate life-saving intervention and is generally categorized as less urgent.
B. A client who has sustained a major burn to their upper torso and extremities: This is incorrect. Although severe, if the client is stable and responsive, they may be categorized as yellow (delayed) unless there are immediate life-threatening complications.
C. A client who has a sprained ankle and laceration to the lower leg: This is incorrect. These injuries are considered less severe and would typically be tagged as green (minor).
D. A client who has an open traumatic brain injury and agonal breaths: This is correct. Agonal breaths and severe head injury indicate a need for immediate life-saving intervention, so this client should receive a red tag for the highest priority.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. A history of pelvic inflammatory disease (PID): While PID can cause pelvic pain, it is not specifically indicative of endometriosis. Endometriosis is a distinct condition with its own set of symptoms.
B. Abdominal bloating starting several days before menses: This symptom can occur with endometriosis, but it is not as specific as other symptoms.
C. Dysmenorrhea that is unresponsive to nonsteroidal anti-inflammatory drugs (NSAIDs): Endometriosis often presents with severe dysmenorrhea that does not respond well to NSAIDs. This is a classic symptom of endometriosis.
D. An atypical Papanicolaou (Pap) smear at her last clinic visit: An atypical Pap smear is more related to cervical abnormalities and is not a specific finding for endometriosis.

A. My platelet count will be drawn monthly. B. I will be checking my blood glucose levels frequently. C. My kidney function should be closely monitored. D. My thyroid-stimulating hormone levels will increase.

Correct Answer is B

Explanation

A. My platelet count will be drawn monthly: This is incorrect. Monitoring platelet count is not specifically related to polycystic ovarian syndrome (PCOS). PCOS management focuses more on hormonal levels and metabolic health.
B. I will be checking my blood glucose levels frequently: This is correct. Clients with PCOS are at increased risk for insulin resistance and diabetes, so monitoring blood glucose levels is an important aspect of managing PCOS.
C. My kidney function should be closely monitored: This is incorrect. While kidney function is important in overall health, it is not specifically monitored in PCOS unless there are other underlying issues.
D. My thyroid-stimulating hormone levels will increase: This is incorrect. Thyroid-stimulating hormone levels are not directly affected by PCOS, though thyroid function should be evaluated if there are symptoms suggesting thyroid dysfunction.

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A nurse is performing triage on the incident scene for several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is C

Explanation

A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?

Correct Answer is B

Explanation

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