While a nurse manager is conducting a disaster-preparedness drill, they observe nurses applying triage tags to clerical staff who are posing as injured clients. The manager should expect the nurses to apply which of the following tags to a client who has an ankle sprain?
Red
Yellow
Green
Black
The Correct Answer is C
Rationale:
A. This option is incorrect because a red tag is reserved for clients with life-threatening injuries who need immediate medical intervention to survive. Examples include severe hemorrhage, airway compromise, or major trauma affecting vital organs. An ankle sprain does not pose a threat to life and does not require urgent treatment, so assigning a red tag would misallocate critical resources.
B. This option is incorrect because a yellow tag is used for clients with serious injuries that require care but are not immediately life-threatening. These clients may have fractures or moderate internal injuries that can tolerate a short delay in treatment. While more serious than a minor sprain, an ankle sprain does not meet the criteria for a yellow tag.
C. This option is correct because a green tag is applied to clients who have minor, non-life-threatening injuries. These individuals, often called "walking wounded," include those with minor sprains, abrasions, small lacerations, or mild contusions. Green-tagged clients can wait for treatment while healthcare resources are directed toward patients with more critical needs, which is a key principle of triage during disasters.
D. This option is incorrect because a black tag indicates clients who are deceased or have injuries so severe that survival is unlikely, even with immediate intervention. An ankle sprain is a minor injury with no threat to life, making the black tag inappropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. This option is incorrect because the decision to have a DNR is made by the client or their legally authorized representative, not solely by the provider. The provider’s role is to discuss options, document the client’s wishes, and write the DNR order.
B. This option is incorrect because a DNR order does not mean the provider will discontinue the client’s medications. A DNR only specifies that cardiopulmonary resuscitation (CPR) should not be performed in the event of cardiac or respiratory arrest; all other medical treatments continue as appropriate.
C. This option is incorrect because the client does not need to sign a separate consent form for CPR if a DNR is not in place. CPR is the default standard of care unless a DNR order is documented.
D. This option is correct because the provider should periodically evaluate the DNR order to ensure it still aligns with the client’s wishes and current health status. Regular review allows for updates if the client’s condition, preferences, or advance directives change.
Correct Answer is C
Explanation
Rationale:
A. This option is incorrect because primary nursing assigns one nurse to be responsible for a client’s total care throughout their stay. It emphasizes continuity and individualized care, rather than dividing tasks among multiple staff members.
B. This option is incorrect because team nursing involves a team of nurses and assistive personnel providing care to a group of clients. While tasks may be delegated, the focus is on collaborative care rather than assigning specific functional roles like medication or treatment nurse.
C. This option is correct because functional nursing is a task-oriented delivery system where specific staff members are assigned to perform particular tasks for all clients (e.g., a medication nurse administers medications, a treatment nurse provides wound care, a charge nurse oversees the unit). This approach is often used when staffing is limited because it maximizes efficiency and ensures that essential tasks are completed.
D. This option is incorrect because modular nursing is a variation of team nursing where the unit is divided into modules, and a small team cares for the clients in each module. While it improves proximity and communication, it does not specifically assign staff to task-based roles.
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