A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?

A client who reports flank pain radiating to the groin

A client who has multiple fractures

A client with partial thickness burns to both hands

A client who has a punctured femoral artery

Answer and Explanation

The Correct Answer is D

A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.

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Correct Answer is D

Explanation

A. A client who has a fractured fibula and tibia: This is incorrect. While serious, this injury does not require immediate life-saving intervention and is generally categorized as less urgent.
B. A client who has sustained a major burn to their upper torso and extremities: This is incorrect. Although severe, if the client is stable and responsive, they may be categorized as yellow (delayed) unless there are immediate life-threatening complications.
C. A client who has a sprained ankle and laceration to the lower leg: This is incorrect. These injuries are considered less severe and would typically be tagged as green (minor).
D. A client who has an open traumatic brain injury and agonal breaths: This is correct. Agonal breaths and severe head injury indicate a need for immediate life-saving intervention, so this client should receive a red tag for the highest priority.

A. A 28-year-old client who has a history of pelvic inflammatory disease B. A 26-year-old client who is mobile post appendectomy C. A 38-year-old client who reports smoking one pack of cigarettes every day D. A 32-year-old client who has fibrocystic breast disease

Correct Answer is C

Explanation

A. A 28-year-old client who has a history of pelvic inflammatory disease: This is incorrect. While a history of pelvic inflammatory disease does not necessarily contraindicate oral contraceptive use, it should be assessed for any other potential complications or contraindications.
B. A 26-year-old client who is mobile post appendectomy: This is incorrect. Recent surgery, such as an appendectomy, is not a contraindication for oral contraceptives, provided the client is otherwise healthy.
C. A 38-year-old client who reports smoking one pack of cigarettes every day: This is correct. Smoking, especially in women over 35, is a contraindication for oral contraceptives due to the increased risk of cardiovascular events such as thrombosis.
D. A 32-year-old client who has fibrocystic breast disease: This is incorrect. Fibrocystic breast disease does not contraindicate the use of oral contraceptives.

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A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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