Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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Which of the following cases would be classified as an urgent case in triage nursing?
  1. A patient who has a head injury without decrease in LOC, but with vomiting
  2. A patient who has had a chemical exposure to the eyes
  3. A patient who is bleeding at the GI tract with abnormal vital signs
  4. A patient who is in severe respiratory distress
Explanation
Answer - A - The case that would be classified as an urgent case in triage nursing is a patient who has a head injury without decrease in LOC, but with vomiting. Urgent levels in triage nursing are conditions with significant distress. The other options are classified under emergent levels and have a potential threat to life, limb, or function.
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