Practice Quiz

NCLEX-RN

Category - Safety

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One morning, there has been a massive road accident that resulted in a huge number of clients coming into the emergency department for treatment. What is the initial action of the nurse who is assigned to the triage area?
  1. Determine the clients with life-threatening conditions.
  2. Determine the ambulatory and less injured clients and direct them towards a designated area.
  3. Identify clients with respiratory problems.
  4. Identify clients with bleeding problems.
Explanation
Answer: B - To reduce chaos, the triage nurse should first determine the ambulatory and less injured clients and redirect them to a designated area. This group of clients is tagged GREEN. The remaining clients are then categorized according to the severity of their conditions. Clients in critical condition are treated immediately.
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