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    Med surg 2 proctored exam

    Which client will the emergency nurse triage as the priority?

    Explanation & Rationale

    A. An ankle fracture is painful and requires medical attention, but it is not immediately life-threatening. This client can be triaged after patients with more urgent cardiovascular or systemic emergencies. B. Vomiting and flank pain from a history of kidney stones can cause dehydration and severe discomfort, but it is not immediately life-threatening unless complications such as obstruction or infection occur. C. Profound weakness and fever of 103° F indicate a possible infection that requires prompt evaluation, but the client is currently less acutely at risk for sudden deterioration compared with someone having possible acute coronary syndrome. D. Sweating, jaw pain, and pain in the left arm are classic signs of acute myocardial infarction (heart attack). This condition is life-threatening and requires immediate triage and intervention. Prompt recognition and rapid treatment can prevent cardiac tissue damage and reduce mortality.

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