A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

A client who has acute tonsillitis, is drooling, and has difficulty swallowing

A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness

A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%

A client who has lower left abdominal pain and bloody stools

Answer and Explanation

The Correct Answer is A

A. A client who has acute tonsillitis, is drooling, and has difficulty swallowing: This client is likely experiencing severe swelling or an airway obstruction, which requires immediate attention to ensure the airway is not compromised.
B. A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness: While this client has concerning symptoms, airway compromise is prioritized in triage.
C. A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%: This client is hypoxic and requires prompt intervention, but airway issues take precedence.
D. A client who has lower left abdominal pain and bloody stools: This client may have a serious condition but does not require as immediate intervention as a compromised airway.

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Correct Answer is B

Explanation

A. It typically does not metastasize: Early-stage testicular cancer can metastasize if not treated promptly, so this statement is not accurate.
B. It is highly responsive to treatment: Early-stage testicular cancer is highly treatable, and many patients respond well to therapy, making this the correct statement.
C. It is most common among men over 55 years: Testicular cancer is most common among younger men, particularly between the ages of 15 and 35 years.
D. It is one of the least curable solid tumors: Testicular cancer, especially when detected early, is highly curable, so this statement is incorrect.

A. A client who has a fractured fibula and tibia B. A client who has sustained a major burn to their upper torso and extremities C. A client who has a sprained ankle and laceration to the lower leg D. A client who has an open traumatic brain injury and agonal breaths

Correct Answer is D

Explanation

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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A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

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Naxlex Comprehensive Predictor Exams

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