A nurse is performing triage on the incident scene for 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 fractured fibula and tibia

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

A client who has a sprained ankle and laceration to the lower leg

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

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is D

Explanation

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance: This is incorrect. Oral contraceptives can help manage symptoms of PCOS by regulating menstrual cycles and reducing androgen levels, but they are not the only solution. Lifestyle modifications and weight loss can also significantly impact hormonal balance.
B. Surgical removal of ovarian cysts is the primary treatment for PCOS: This is incorrect. Surgery is not the primary treatment for PCOS. Management typically focuses on lifestyle changes and medications rather than surgical intervention.
C. PCOS cannot be managed, and no treatment options are available: This is incorrect. PCOS can be managed with a combination of lifestyle changes, medications, and, in some cases, surgical options.
D. Weight loss and lifestyle modifications can help improve PCOS symptoms: This is correct. Weight loss and lifestyle changes are fundamental in managing PCOS symptoms, as they can help improve insulin sensitivity and reduce androgen levels, which can alleviate symptoms and improve fertility.

A. Remove the dressing to inspect the wound. B. Prepare to insert a central line. C. Raise the foot of the bed to a 90° angle. D. Administer oxygen via nasal cannula.

Correct Answer is D

Explanation

A. Remove the dressing to inspect the wound: This could exacerbate the wound and increase the risk of air entering the pleural space. The priority is to manage the wound to prevent further complications.
B. Prepare to insert a central line: While a central line might be needed for severe fluid resuscitation or medication administration, addressing the immediate airway and breathing concerns is more urgent.
C. Raise the foot of the bed to a 90° angle: This position is not appropriate for managing a sucking chest wound and does not address the immediate respiratory needs.
D. Administer oxygen via nasal cannula: The client is showing signs of hypoxia and increased respiratory distress. Administering oxygen will help improve oxygenation and manage symptoms of hypoxia until further interventions can be taken.

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A nurse is performing triage on the incident scene for 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

A client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse should encourage what health promotion activity to address the client's hormone imbalance and infertility?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving 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?

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