A nurse is triaging a client following a community disaster.
The nurse should identify the client with a Select... –and Select...
Red tag, life-threatening injury requiring immediate intervention
Yellow tag, serious injury requiring delayed but urgent treatment
Green tag, minor injury requiring minimal treatment
Black tag, non-survivable injury with expected poor outcome
The Correct Answer is B
A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.
B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.
C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.
D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Teach the client about the potential health risks of leaving early: The first action the nurse should take is to inform the client about the potential health risks associated with leaving the facility against medical advice. Providing this information ensures that the client is fully informed about the consequences of their decision, which is essential for promoting their safety and well-being.
B. Ask the client to sign a document stating they are leaving AMA: While obtaining a signed document is necessary, it should occur after the client has been informed about the risks involved in leaving. The nurse should first ensure the client understands the implications of their decision.
C. Document the client's statement in direct quotes in the medical record: Documentation is important but should not be the first action taken. The nurse must first address the client’s immediate request and provide information regarding potential health risks before focusing on documentation.
D. Complete an incident report detailing the client scenario: Completing an incident report may be necessary later, but the priority should be to address the client’s safety and ensure they are making an informed decision about leaving the facility. The nurse should first engage with the client regarding their choice and the associated risks.
Correct Answer is A
Explanation
A. "If you accept this assignment today, I will let you choose your assignment tomorrow.": This statement exemplifies smoothing as a conflict resolution strategy. By offering a compromise or incentive, the charge nurse is attempting to reduce tension and create a more favorable situation for the staff nurse, thereby smoothing over the disagreement about the assignment.
B. "Let's just focus on giving out client medications on time.": This statement diverts attention from the conflict but does not actively seek to resolve it. It may minimize the issue temporarily but does not address the underlying disagreement or concern regarding the assignment.
C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor.": This statement is confrontational and may escalate the conflict rather than resolve it. It places pressure on the staff nurse and does not foster a collaborative atmosphere for finding a solution.
D. "You have a lot of experience, so I'm sure you're capable of these tasks.": While this statement acknowledges the staff nurse's experience, it may not effectively address the conflict regarding the assignment. It could come across as dismissive of the nurse's concerns rather than facilitating a resolution to the disagreement.
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