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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer pain medication: Pain management is not the primary intervention for exposure to anthrax; the focus should be on addressing the disease directly.
B. Administer antibiotic therapy: This is correct. Post-exposure prophylaxis with antibiotics is crucial in preventing the development of anthrax, especially after exposure to spores.
C. Administer an antiviral medication: This is incorrect. Anthrax is caused by bacteria, not viruses, so antiviral medications are not effective.
D. Administer an antitoxin: While antitoxins are used in treating symptomatic anthrax, the immediate and appropriate action for exposure is to start antibiotic therapy.
Correct Answer is C
Explanation
A. Anthrax: This is incorrect. While a vaccine is available for anthrax, it is generally administered as a pre-exposure prophylaxis, not as a treatment following exposure.
B. Sarin: This is incorrect. Sarin is a nerve agent for which there is no vaccine. Treatment focuses on immediate decontamination and administration of antidotes like atropine.
C. Smallpox: This is correct. A vaccine for smallpox is administered following exposure as a post-exposure prophylaxis, as smallpox is a virus for which immediate vaccination can help prevent the disease.
D. Botulism: This is incorrect. Botulism is treated with antitoxin rather than a vaccine. There is no post-exposure vaccine available for botulism.
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