A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first?
A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm
A client who has full-thickness burn injuries over 30% of his total body surface area
A client who is exhibiting agonal respirations with fixed and dilated pupils
An ambulatory client who has a nosebleed and reports feeling dizzy
The Correct Answer is B
In a mass casualty incident (MCI) like a train crash, triage is based on the severity of injuries and likelihood of survival using the START (Simple Triage and Rapid Treatment) system. Clients are categorized as Immediate (Red), Delayed (Yellow), Minor (Green), or Expectant (Black).
A. A client with a humerus fracture and a 2+ radial pulse (Yellow - Delayed): The client is stable and not the highest priority for immediate transport.
B. A client with full-thickness burns over 30% TBSA (Red - Immediate): This client has life-threatening injuries requiring urgent treatment for airway support, fluid resuscitation, and burn care.
C. A client with agonal respirations and fixed, dilated pupils (Black - Expectant): This client is unlikely to survive even with treatment, so in an MCI, resources should be allocated to those with a higher chance of survival.
D. An ambulatory client with a nosebleed and dizziness (Green - Minor): This client is walking wounded and can wait for medical care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
HIPAA (Health Insurance Portability and Accountability Act) is a federal law that mandates the privacy and security of a patient's medical records and personal health information. A newly licensed nurse must understand the HIPAA regulations to protect patient's confidentiality and avoid penalties for violating the law. HIPAA rules permit clients to access their medical records and receive copies of their medical information upon request. A client can request copies of medical records through a signed authorization form. HIPAA does not allow the sharing of a client's medical information with unauthorized personnel or third parties, including coworkers and supervisors. Therefore, it is essential to protect clients' medical information and keep computer passwords confidential.
Correct Answer is C
Explanation
. Immunization is one of the most effective primary prevention measures, as it can prevent the spread of infectious diseases in schools. By monitoring the immunization status of students, the school nurse can ensure that all students are up-to-date on their vaccinations and take action if any student is not. Scheduling hearing screenings or providing first aid for injured students are examples of secondary prevention, which aims to detect and treat illnesses or injuries early to prevent complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today