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    Ati Adn 110 Holistic Health Assessment Proctored Exam

    A is nurse assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. This is inappropriate in the context of mass-casualty triage. During field triage, the focus is rapid assessment to prioritize treatment, not detailed examination. Comprehensive assessments occur later once the patient is in a controlled care area. B. While parental consent is important, emergencies during mass-casualty incidents do not allow time to delay care for consent. Life- or limb-threatening injuries are treated immediately under implied consent. C. In the field triage system, a yellow tag indicates delayed care, meaning the injury is serious but not immediately life-threatening. An open femur fracture is urgent, requires care, but the child is stable enough to wait briefly compared to clients with immediate life-threatening injuries (red tag). Tagging allows prioritization of resources and ensures that patients with the greatest risk of mortality are treated first. D. While notification is important, in the immediate field triage setting, prioritizing and tagging patients takes precedence. Communication with the receiving facility typically follows rapid triage and transport decisions.

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