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?

Black

Green

Yellow

Red

Answer and Explanation

The Correct Answer is D

The red tag is used to identify patients with critical injuries who require immediate medical attention. These individuals have life-threatening conditions that, with prompt medical intervention, have a higher chance of survival.

The triage color code system typically follows the following priority order:

1. Red tag: Immediate or emergent care needed for life-threatening injuries or conditions.

2. Yellow tag: Urgent care needed for significant injuries or conditions that are not immediately life-threatening.

3. Green tag: Non-urgent care needed for minor injuries or illnesses that can wait for medical treatment.

4. Black tag: Comfort care or deceased, as the injuries or conditions are incompatible with life or resources are not available for treatment.

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Correct Answer is B

Explanation

Pain tolerance refers to the maximum level of pain that an individual can tolerate without significant distress. It is influenced by various factors, including psychological and emotional factors. While emotions such as anger, boredom, and introversion can have an impact on a person's pain perception and experience, sleep plays a significant role in pain tolerance. During sleep, the body is in a state of rest and relaxation, allowing for decreased sensory input and potentially reducing pain perception. Sleep provides an opportunity for the body to repair and heal, which can contribute to improved pain tolerance. Additionally, sleep promotes the release of endogenous opioids, which are natural pain-relieving substances produced by the body.

A. Select all that apply. B. Arthritis C. Widened Gait D. Kyphosis E. Slowed movement. F. Muscle atrophy

Correct Answer is ["B","C","D","E","F"]

Explanation

The normal physiological changes of aging that the nurse can expect in an older adult during a musculoskeletal assessment include:

● Widened Gait: With age, there can be a natural widening of the gait due to changes in balance and stability.

● Kyphosis: Kyphosis refers to an increased curvature of the thoracic spine, commonly known as a "hunchback" appearance, which can occur due to changes in the vertebral bones and intervertebral discs.

● Slowed movement: Older adults may experience a natural decline in their movement speed due to changes in muscle strength, coordination, and reaction time. ● Muscle atrophy: Age-related muscle atrophy, or loss of muscle mass, can occur, particularly if the older adult leads a sedentary lifestyle or has other underlying health conditions.

● Decreased joint ROM (Range of Motion): Older adults may experience a gradual decrease in joint flexibility and range of motion due to changes in the joints, ligaments, and surrounding tissues. This can affect their ability to move joints fully.

It's important to note that while some older adults may develop arthritis, it is not considered a normal physiological change of aging. Arthritis refers to the inflammation and degeneration of joints, which can occur due to various factors, including age, genetics, and lifestyle.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?

Correct Answer is B

Explanation

A nurse is performing a musculoskeletal assessment on an older adult. What normal Physiological changes of aging does the nurse expect?

Correct Answer is ["B","C","D","E","F"]

Explanation

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