A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

Community law enforcement officers can serve as triage officials during an emergency.

Nurses and other emergency medical personnel can serve as triage officials during an emergency.

Local fire fighters can serve as triage officials during an emergency.

Members of the Federal Emergency Management Agency (FEMA) can serve as triage officials during an emergency.

Answer and Explanation

The Correct Answer is B

A. Community law enforcement officers can serve as triage officials during an emergency: Law enforcement officers are typically not trained as triage officials and their primary role is to ensure public safety and manage security.
B. Nurses and other emergency medical personnel can serve as triage officials during an emergency: This is correct as nurses and other trained medical personnel have the necessary skills to assess and prioritize care based on the severity of injuries or conditions.
C. Local fire fighters can serve as triage officials during an emergency: While fire fighters are crucial in emergency response, they are not typically trained as triage officers unless they have specific medical training.
D. Members of the Federal Emergency Management Agency (FEMA) can serve as triage officials during an emergency: FEMA provides support and resources but does not generally serve as triage officials. The role of triage is typically handled by medical professionals on the scene.

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Correct Answer is B

Explanation

A. A client who has an open upper extremity fracture: While this is a serious injury, it is less critical compared to a tension pneumothorax in a triage setting.
B. A client experiencing a tension pneumothorax: This is a life-threatening condition that requires immediate intervention to relieve pressure on the lungs and restore adequate breathing.
C. A client who has full-thickness burns over 85% of their body: This is a severe condition with a high mortality risk, but in a mass casualty situation, a tension pneumothorax is prioritized for immediate care.
D. A client who has agonal respirations: Agonal respirations indicate severe distress, but the immediate need for intervention is to address conditions that can rapidly compromise life, such as a tension pneumothorax.

A. Initiate intravenous (IV) access for fluid replacement. B. Place the client's arm in a dependent position. C. Apply pressure directly to the wound. D. Apply a tourniquet just below the level of the shoulder.

Correct Answer is C

Explanation

A. Initiate intravenous (IV) access for fluid replacement. This is important for managing shock or significant blood loss, but it is not the first priority in managing severe bleeding.
B. Place the client's arm in a dependent position. This would not be appropriate for severe bleeding and does not control hemorrhage effectively.
C. Apply pressure directly to the wound. This is correct. Direct pressure is the immediate and essential step to control bleeding in a severe wound. It helps to stabilize the clot and reduce blood loss.
D. Apply a tourniquet just below the level of the shoulder. This is not the first intervention. A tourniquet is used if direct pressure does not control severe bleeding and should be applied above the wound, not below.

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A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first?

Correct Answer is C

Explanation

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