A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

A client who has a sprained left ankle.

A client who has an open traumatic brain injury and agonal breaths.

A client who has sustained a partial amputation of the right leg.

A client who is deceased.

A client who has sustained a major burn to the upper torso and extremities.

Answer and Explanation

The Correct Answer is B

A.   A client who has a sprained left ankle is typically categorized as a lower priority in triage.
B.   A client who has an open traumatic brain injury and agonal breaths should be assigned a red tag and indicates immediate or emergent care; this client requires immediate attention.
C.   A client who has sustained a partial amputation of the right leg requires urgent care but may not be as immediately life-threatening as option B.
D.   A client who is deceased typically does not receive further medical intervention in a mass casualty situation.
E.   While serious, the severity may not necessitate immediate intervention compared to option B.
F.   This is typically categorized as a lower priority in triage.

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Correct Answer is B

Explanation

A. A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B. Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C. Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D. Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

A. Non-palpable spleen B. Rough, dry skin. C. Presence of surface papillae on tongue D. Slightly moist skin

Correct Answer is B

Explanation

A. Non-palpable spleen is not a typical manifestation of malnutrition but may be associated with other health conditions.
B. Rough, dry skin is a common manifestation of malnutrition, reflecting deficiencies in essential nutrients affecting skin health.
C. The presence of surface papillae on the tongue is not specifically associated with malnutrition.
D. Slightly moist skin is less likely in malnutrition; dry skin is more characteristic.

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A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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