The nurse should identify that Client 1 requires priority care due to which of the following reasons?
The client has severe but survivable injuries.
The client has minor injuries requiring immediate care.
The client has non-life-threatening injuries but requires follow-up care.
The client has injuries that do not require urgent attention.
The Correct Answer is A
Choice A rationale
Severe but survivable injuries demand immediate care to stabilize critical functions like airway, breathing, and circulation. Prioritizing care ensures better survival outcomes, especially with red tag cases requiring prompt medical intervention.
Choice B rationale
Minor injuries do not threaten life or major functions, so they do not require immediate care. Patients with minor issues are generally green-tagged and can wait without significant adverse outcomes.
Choice C rationale
Non-life-threatening injuries needing follow-up care may have minimal short-term risks, making them less urgent. Such cases often align with yellow tag classifications for priority but non-immediate attention.
Choice D rationale
Injuries without urgent attention lack immediate risk to life or function. These cases can afford to wait without compromising patient outcomes, especially under mass casualty triage protocols.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering antibiotics is crucial for meningitis management but should follow infection control protocols to prevent transmission, aligning with the prioritization of safety in Maslow's hierarchy of needs.
Choice B rationale
Providing analgesics manages symptoms but does not prevent disease spread. Initiating precautions addresses the immediate risk of contagion, which takes precedence in infection control.
Choice C rationale
Initiating droplet precautions minimizes the risk of disease transmission to healthcare providers and others, adhering to infection control standards and being the primary action in meningococcal meningitis.
Choice D rationale
Educating the client is important for understanding the illness, but immediate containment of the infectious agent through precautions is the priority in preventing disease spread.
Correct Answer is D
Explanation
Choice A rationale
Reporting elevated blood pressure is important; however, verifying the accuracy of the reading ensures reliable data before initiating any interventions or contacting the provider.
Choice B rationale
While baseline comparison is essential, rechecking ensures accuracy and rules out any transient factors or equipment errors causing the abnormal blood pressure reading.
Choice C rationale
Administering antihypertensives without confirming the abnormal reading may lead to potential hypotension or overtreatment if the initial measurement was inaccurate.
Choice D rationale
Rechecking the blood pressure confirms accuracy, rules out transient elevations or equipment issues, and provides reliable data for appropriate clinical decision-making and subsequent actions.
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