Disaster cc

which tag would a patient with normal vitals but isn't ambulatory receive?

yellow

• A client who is having burn debridement states, "You are the worst nurse I have ever seen. All you do is hurt me." Which of the following responses should the nurse make? 1) "That's a hurtful thing to say." 2) "Tell me more about that." 3) "Why would you say such a thing?" 4) "Well, that's your opinion."

2

A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take? 1) Focus on providing care that prevents life-threatening emergencies. 2) Reinforce discharge teaching to clients. 3) Instruct the assistive personnel (AP) to focus on clients' ADLs. 4) Stock additional unit supplies.

4

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?

54%

• Male, 17, follows commands, respirations 12, pulse 56, large blunt trauma hematoma on head

yellow

The following clients are presented with signs and symptoms of heat-related illness. Which of them needs to be attended to first? A. A relatively healthy homemaker who reports that the air conditioner has been broken for days and who manifest fatigue, hypotension, tachypnea, and profuse sweating. B. An elderly person who complains of dizziness and syncope after standing in the sun for several hours to view a parade. C. A homeless person who is a poor historian; has altered mental status, poor m

c

what does a black tag mean?

deceased

what does a yellow tag mean

delayed

Male, 37, laceration to the face, limping

green

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider? A. Urinary Output 25 Ml/ Hr B. Difficulty swallowing C. Heart rate 122 bpm D. Pain 6 out of 10

B

which tag would a patient with RR >20, cap refill >2, and unable to follow commands receive?

red

• Male, 88, possible broken arm and severe confusion

red

which tag would a patient with apnea receive

black

• Female, 31, not breathing after attempting to open airway

black

• Male, 52, face and hands appear bluish in color, no pulse

black

which tag would a patient is who ambulatory and walking receive?

green

• Female, 52, limping around, yelling at other patients

green

what does a red tag mean

immediate

what does a green tag mean

minor

Female, 26, coughing, gasping for air, respirations 34

red

Female, 6, Right leg - severe bleeding, bone visibly broken, Capillary refill >2 sec

red