You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who has the highest priority of being treated first?

Ensure the client receives adequate amounts of fluids: This is important to maintain hydration and thin respiratory secretions, making it easier for the client to cough and clear the airways. Check the client's mouth for stomatitis: Methylprednisolone can increase the risk of developing oral candidiasis (thrush) or stomatitis, which can cause discomfort and interfere with oral intake. Regular mouth checks can help identify these conditions early for appropriate management. Assess the client's mental status: Pneumonia, particularly in individuals with pre-existing lung disease like COPD, can lead to hypoxemia, which may affect mental status. It is important to monitor the client's mental status, as changes in cognition or confusion can be indicators of hypoxia and require prompt intervention.

Monitor for signs of hypokalemia: Methylprednisolone, like other corticosteroids, can cause electrolyte imbalances, including hypokalemia (low potassium levels). Hypokalemia can have various effects on the body, including muscle weakness and cardiac dysrhythmias. Regular monitoring of potassium levels and signs of hypokalemia is important for timely management. Monitor the client's blood glucose levels: Methylprednisolone can increase blood glucose levels, particularly in individuals with pre-existing diabetes or impaired glucose tolerance. Regular monitoring of blood glucose levels is necessary to ensure proper glycemic control and prevent hyperglycemia-related complications.

Monitor the client's blood pressure for hypotension: Corticosteroids like methylprednisolone can cause fluid retention, leading to an increase in blood pressure. However, sudden withdrawal of corticosteroids can result in adrenal insufficiency and hypotension. Close monitoring of blood pressure is necessary to identify any significant changes and adjust the medication regimen accordingly.

Muscle rigidity is a hallmark sign of malignant hyperthermia. It commonly affects the muscles of the jaw and upper chest.

Malignant hyperthermia can lead to rapid and shallow breathing, resulting in tachypnea. Malignant hyperthermia is characterized by a significant increase in body temperature, often exceeding 38.8°C (101.8°F).

Malignant hyperthermia can cause irregular heart rhythms or dysrhythmias, including tachycardia or arrhythmias.

The manifestations of hypertension and skin mottling are not typically associated with malignant hyperthermia. Hypertension (high blood pressure) is more commonly seen in conditions such as hypertensive emergencies or certain cardiovascular disorders. Skin mottling, which refers to irregular or patchy skin coloration, is not a specific manifestation of malignant hyperthermia.