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.
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Related Questions
Correct Answer is C
Explanation
A. Increased sweating: This is incorrect. Increased sweating is not typically indicative of internal hemorrhaging. It can be associated with various conditions but is not a specific sign of internal bleeding.
B. Increased redness at the site: This is incorrect. Increased redness would more likely be associated with localized infection or inflammation rather than internal hemorrhaging.
C. Increased abdominal distention: This is correct. Increased abdominal distention can be a sign of internal hemorrhaging, particularly if blood accumulates in the abdominal cavity (hemoperitoneum), leading to abdominal swelling and discomfort.
D. Increased blood pressure: This is incorrect. Internal hemorrhaging often leads to hypotension rather than increased blood pressure, as blood volume decreases and the body attempts to compensate.
Correct Answer is B
Explanation
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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