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AV.52.ID: 327496215A triage nurse in an emergency department (ED) is attending to the victims of a train crash. All victims are alert. Which of these clients does the nurse assign to the emergent category? Select all that apply.A. A victim with respiratory distress CorrectB. A victim with a fractured humerusC. A victim with partial amputation of the footCorrectD. A victim with a forehead laceration that is not bleedingE. A victim with multiple nonbleeding bruises of the arms and legs
Rationale: One rating system commonly used in the ED consists of three tiers — emergent, urgent, and nonurgent — with the categories sometimes identified with color coding or numbers. The emergent classification (a.k.a. red or priority 1) is given to clients with life-threatening injuries (here, the clients with respiratory distress [airway] and partial amputation of the foot [bleeding/circulation]) who require immediate attention and continuous evaluation but have a high chance of survival once their conditions have been stabilized. The urgent (a.k.a. yellow or priority 2) classification is given to clients whose injuries and complications are not life threatening (here, the client with the fractured humerus), provided that they are treated within 1 to 2 hours; such clients require evaluation every 30to 60 minutes thereafter. The nonurgent (a.k.a. green or priority 3) classification is given to clients with local injuries (here, the clients with the forehead laceration and bruises of the arms and legs) who do not have immediate complications and can wait several hours for medical treatment; these clients require evaluation every 1 to 2 hours thereafter.Test-Taking Strategy: Use the ABCs — airway, breathing, and circulation — which will easily direct you to the correct options. Respiratory distress involves the airway, and the victim with amputation isat risk for bleeding (i.e., circulation). Review the triage system and priorities of care if you had difficulty with this question.References: Maurer, F., & Smith, C. (2009). Community/public health nursing practices: Health for families and populations (4th ed., p. 567). Philadelphia: Saunders.McEwen, M., & Pullis, B. (2009). Community-based nursing: An introduction (3rd ed., p. 157). Philadelphia: Saunders.Cognitive Ability: ApplyingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/ImplementationContent Area: DisastersAwarded 1.0 points out of 1.0 possible points.
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