Following an earthquake, patients are triaged by emergency medical personnel and transported to the emergency department (ED). Which patient will the nurse need to assess first?

A patient with a blue tag

A patient with a black tag

A patient with a yellow tag

A patient with a red tag

Answer and Explanation

The Correct Answer is D

A. A patient with a blue tag indicates minor injuries or illness and can wait for treatment.
B. A patient with a black tag is typically deceased or expected to die and is not a priority for immediate assessment.
C. A patient with a yellow tag indicates delayed treatment needs and can wait while more urgent cases are addressed.
D. A patient with a red tag indicates critical and life-threatening injuries requiring immediate assessment and intervention.

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Correct Answer is A

Explanation

A. Applying hydrating lotions helps moisturize and soothe the skin, which can alleviate dryness and scaling after radiation treatment.
B. Sitting in the sun can exacerbate skin damage and should be avoided after radiation therapy.
C. Moist heat can increase skin irritation and is not recommended for soothing radiation-damaged skin.
D. Washing with plain soap and water is appropriate but should be done gently to avoid further irritation.

A. Examine the patient for any external bleeding. B. Check the patient's level of consciousness. C. Palpate extremities for bilateral pulses. D. Observe the patient's respiratory effort

Correct Answer is D

Explanation

A. While external bleeding is important to assess and manage, it is not the next immediate action after confirming an unobstructed airway.
B. Checking the patient's level of consciousness should be done after assessing the respiratory effort.
C. Palpating extremities for bilateral pulses is part of assessing circulation, which typically follows the assessment of consciousness.
D. After ensuring the patient has an unobstructed airway, the next step in the primary assessment is to observe the patient's respiratory effort. This is crucial as it provides immediate information about the adequacy of the patient's breathing and the need for supplemental oxygen or other interventions.

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Following an earthquake, patients are triaged by emergency medical personnel and transported to the emergency department (ED). Which patient will the nurse need to assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?

Correct Answer is A

Explanation

During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next?

Correct Answer is D

Explanation

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