Question

The registered nurse is teaching the student nurse about care provided for clients according to the five level triage system of the Emergency Severity Index (ESI). Which statement made by the student nurse indicates effective learning? Select all that apply:

a. "Clients in the ESI-2 category do not have life-threatening injuries."
b. "Clients who are in the ESI-4 category present with stable vital signs."
c. "The ESI-1 clients should be seen by the physician within 10 minutes."
d. "Clients with severe respiratory distress fall within the ESI-1 category."

Answer 1

Student nurse indicates effective Clients who are in the ESI-4 category present with stable vital signs, and Clients with severe respiratory distress fall within the ESI-1 category.

Answer: Option B & D

Step-by-step explanation:

The ESI has developed by many hospitals from all over the countries in the world. It stands for Emergency Severity Index that is a 5 level algorithm categorizing the patient's degree of emergency for the treatment.

They can be mentioned as ESI 1-5 and in terms of Immediate, high risk, medium risk, low risk and stable. Respiratory distress falls within ESI-1 because the chance of pursuing life at risk is more than high-risk situations.

ESI-4 is a low-risk state where the patient can be little stable. This state shows the signs of being stable that is only one resource has to cured to get stable.