A nurse in an emergency department is triaging four clients following a mass casualty event.

To which of the clients should the nurse assign a red tag?

A client who has a compromised airway

A client who experienced a brief loss of consciousness

A client who has fixed pupils

A client who has major burns covering 70% of their body

Answer and Explanation

The Correct Answer is A

- A. A client with a compromised airway requires immediate intervention to secure breathing, which is a top priority in triage situations. Without a patent airway, the client is at high risk for suffocation and rapid deterioration.
- B. A client who experienced a brief loss of consciousness may require observation and further assessment, but does not necessarily need immediate life-saving intervention if consciousness has been regained and there are no other signs of airway, breathing, or circulation compromise.
- C. A client with fixed pupils may indicate severe brain injury and, depending on the context, could be considered for a red tag. However, without additional information on breathing and circulation status, it is not the most definitive choice for immediate intervention.
- D. A client with major burns covering 70% of their body is critically injured and will require extensive medical care, but the immediate life-threatening issue in a triage situation is the airway compromise, not the burns themselves.

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Correct Answer is D

Explanation

A. While tracking client information is important for managing patient care during a disaster, the immediate priority during a bioterrorism event is ensuring the safety of personnel through the availability of personal protective equipment.
B. Effective communication is vital during emergencies, but without adequate personal protective equipment, healthcare workers may be at risk of exposure to hazardous biological agents.
C. Mental health support is essential during and after disasters, but in the immediate response to a bioterrorism event, ensuring the availability of personal protective equipment takes precedence in protecting healthcare workers and containing the spread of biological agents.
D. Personal protective equipment (PPE) such as masks, gloves, gowns, and face shields are crucial for safeguarding healthcare workers from exposure to potentially harmful biological agents. During a bioterrorism event, healthcare workers may come into contact with infectious materials, and proper PPE can significantly reduce the risk of transmission.

A. Help her arrange transferring her partner to an assisted living facility. B. Provide volunteers who will run errands for her. C. Allow her to take time off from attending to her partner. D. Send a clinician to assess the safety of leaving her partner alone.

Correct Answer is C

Explanation

A. Help her arrange transferring her partner to an assisted living facility: While respite care may indirectly contribute to exploring long-term care options like assisted living, its primary purpose is to provide temporary relief to caregivers, rather than facilitating permanent transfers.

B. Provide volunteers who will run errands for her: While volunteer services may be part of some respite care programs, the primary benefit of respite care is to give the caregiver a
temporary break from caregiving duties, rather than solely focusing on running errands.

C. Allow her to take time off from attending to her partner: This is the correct answer. Respite care provides the caregiver with the opportunity to take a temporary break from caregiving responsibilities, allowing them to rest, rejuvenate, and attend to their own needs.
D. Send a clinician to assess the safety of leaving her partner alone: While safety assessments may be important, especially for individuals with cognitive impairment, respite care primarily focuses on providing temporary relief to caregivers rather than conducting safety assessments.

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A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the clients should the nurse assign a red tag?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in the development of a disaster management plan for a hospital. For which of the following actions by the resources is the highest priority to have available in response to a bioterrorism event?

Correct Answer is D

Explanation

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

Correct Answer is C

Explanation

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A nurse in an emergency department is triaging four clients following a mass casualty event.

To which of the clients should the nurse assign a red tag?