Question

A nurse in an ED is triaging clients following an explosion at a local factory. Which client should the nurse ID as the priority?

a. tracheal deviation and SOB
b. I can expect to get help with other aspects of my life while in treatment
c. Work with local health care practitioners
d. Administering abx to a client who has AIDS and was dx with Pneumocystis jirovecii

Answer 1

In a triage situation following an explosion, the priority would be the client with tracheal deviation and shortness of breath, as it indicates a life-threatening situation that requires immediate attention.

Step-by-step explanation:

The client who should be identified as the priority in triage following an explosion at a local factory is the one with tracheal deviation and shortness of breath (SOB). Tracheal deviation can indicate a serious condition such as tension pneumothorax, which is a life-threatening issue requiring immediate intervention to prevent further respiratory distress or collapse. This selection is consistent with triage protocols which prioritize life-threatening conditions over others that are less immediately critical.