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The nurse is assisting in the care of clients during a mass casualty event.

Exhibits

For each client, click to specify if the client should be assigned a red, yellow, or black tag. A tag color may be assigned to more than one client.

A.

Client 4

B.

Client 2

C.

Client 1

D.

Client 3

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"}}

Rationale

  • Client 1: Red tag. This client has a significant loss of blood and a low heart rate, indicating they are in critical condition and need immediate intervention to survive.
  • Client 2: Yellow tag. This client has second-degree burns and is in pain, but their condition is stable and not immediately life-threatening.
  • Client 3: Black tag. This client is unresponsive with multiple severe burn injuries and Cheyne-Stokes respirations, indicating a very poor prognosis and unlikely survival.
  • Client 4: Red tag. This client is experiencing severe chest pain and shortness of breath, which could indicate a life-threatening condition such as a heart attack and requires immediate attention.


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Related Questions

Correct Answer is B

Explanation

A. Replace nonperishable food items annually: While rotating nonperishable food supplies is important, many nonperishable items have longer shelf lives, and replacement frequency depends on expiration dates. This is not the most essential point to include.

B. Have a backup supply of nonprescription medications: This is crucial for older adults who often rely on medications such as pain relievers, antacids, or allergy medications. In a disaster, access to pharmacies may be limited, making backup supplies essential for maintaining health.

C. Stock 2 liters of water per person per day: The recommended amount is generally at least 3.8 liters (1 gallon) of water per person per day for drinking and sanitation, not 2 liters.

D. Gather enough supplies to last for 2 weeks: While two weeks is ideal in some emergency plans, the standard recommendation by organizations such as FEMA is at least 3 days of supplies. Therefore, this advice may not be the most practical or commonly endorsed in a general teaching session.

Correct Answer is A

Explanation

A. Activating the fire alarm is the immediate priority after ensuring the client's safety, as it alerts the entire facility to the potential danger and initiates the fire response protocol.
B. Closing the door to the client's room is important for containing the fire but is secondary to activating the alarm to ensure that emergency services are alerted.
C. Reporting the fire details to the facility emergency extension is necessary but should be done after the alarm has been activated to ensure that help is dispatched quickly.
D. Turning off electrical equipment may not be safe or possible in the event of a fire; the focus should be on evacuation and alerting emergency services.

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