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    Ati W25 Nurs 226 Med Surg Proctored Exam

    The nurse triages victims of a hurricane who were rescued from a five-story apartment building. Which victim should be tagged as yellow?

    Explanation & Rationale

    Rationale: A. Chest pain accompanied by diaphoresis may indicate a myocardial infarction or other life-threatening cardiac event. In a mass-casualty situation, clients with signs of imminent threat to life are prioritized for immediate intervention. According to triage principles, this client would be tagged red (immediate) because delaying care could result in death. B. The client has a serious but non-life-threatening injury. The presence of distal pedal pulses indicates adequate circulation, so there is no immediate risk of limb ischemia. In disaster triage, clients like this are tagged yellow (delayed), meaning treatment should be provided after immediate life-threatening conditions are stabilized. These injuries require care, such as fracture stabilization and wound management, but can safely wait a short period without significant risk of death. C. Dyspnea and shallow respirations suggest respiratory compromise, which can rapidly become fatal. In triage, this client would be tagged red (immediate) because urgent intervention is needed to maintain oxygenation and prevent respiratory failure. D. A minor injury like a wrist sprain is non-life-threatening and does not impair vital functions. In triage, this client would be tagged green (minor), meaning care can be delayed until more urgent cases are treated

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