A nurse is performing triage tagging during a disaster drill. Which of the following disaster triage tags should the nurse apply to a client who has a fracture of the tibia with exposed bone and tissue?
Nonurgent
Expectant
Urgent
Emergent
The Correct Answer is C
Rationale:
A. Nonurgent: This tag is used for clients with minor injuries that do not require immediate medical attention, such as small lacerations or sprains. A tibial fracture with exposed bone is more severe and requires faster intervention to prevent complications.
B. Expectant: The expectant tag is reserved for clients with injuries so severe that survival is unlikely even with immediate care. These clients receive comfort measures but not life-saving interventions. A tibial fracture does not meet this criterion.
C. Urgent: An open tibial fracture is classified as urgent because it poses a high risk of infection and significant blood loss. Although not immediately life-threatening, the injury requires timely surgical intervention to preserve function and prevent complications.
D. Emergent: Emergent tags are used for life-threatening injuries that require immediate intervention to save life or limb, such as airway obstruction or massive hemorrhage. While serious, an open tibial fracture does not threaten life in the immediate sense.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "Administer a daily multivitamin to your child along with this medication.": Children with cystic fibrosis often have malabsorption of fat-soluble vitamins (A, D, E, and K) due to pancreatic insufficiency. A multivitamin supplement helps prevent deficiencies, and it's commonly recommended alongside pancreatic enzyme therapy.
B. "Give the medication immediately after giving an antacid to your child.": Antacids can interfere with the effectiveness of pancrelipase by altering the pH needed for the enzymes to function properly in the duodenum.
C. "Monitor your child's weight every 6 months while taking this medication.": Weight in children with cystic fibrosis should be monitored more frequently due to the high risk of malnutrition and poor growth. Waiting six months could delay detection of nutritional issues.
D. "Ensure that this medication is taken 1 hour after meals.": Pancrelipase must be taken with meals and snacks to ensure that digestive enzymes are available when food is present in the small intestine. Delaying the dose reduces its effectiveness in nutrient absorption.
Correct Answer is C
Explanation
Rationale:
A. Norming: Norming is the stage where group members begin to establish trust, set group norms, and start working more collaboratively. This phase comes after members have had a chance to get acquainted and address initial conflicts.
B. Storming: Storming is the second stage and involves conflict or competition as group members assert their opinions or roles. While essential for growth, it is not the first stage in group development.
C. Forming: Forming is the initial stage of group development where members are introduced, roles are discussed, and goals are clarified. It sets the foundation for interprofessional collaboration and defines the group’s purpose and structure.
D. Performing: Performing is the advanced stage where the group functions effectively toward achieving its goals. It occurs only after earlier stages like forming, storming, and norming have been successfully navigated.
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