A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?
A client who has a punctured femoral artery
A client who has an open fracture
A client who exhibits manifestations of multiple organ failure
A client who has several closed fractures with bruising
The Correct Answer is A
A. Emergent (red tag) category includes patients with life-threatening injuries requiring immediate attention, such as a punctured femoral artery.
B. An open fracture may be urgent but not emergent unless associated with severe bleeding or other life-threatening complications.
C. Manifestations of multiple organ failure are severe but may fall into the expectant (black tag) category.
D. Closed fractures with bruising may be urgent but not emergent unless there are associated life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.
Correct Answer is ["A","B","C"]
Explanation
A. Social support systems are important for caregivers to be aware of available support networks.
B. Strategies for managing caregiver stress are crucial.
C. Knowledge of local resources can aid caregivers in providing optimal care.
D. While legal considerations may be relevant, they may not be a primary focus in this context.
E. While understanding grief is important, it may not be the primary focus of caregiver education for dementia.
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