Using disaster triage system, which action should nurse take


Problem:

One hundred victims of a train derailment are brought to the Emergency Department of a small rural hospital. An older client with extensive crushing injuries to the lower extremities and pelvis has a blood pressure of 42/28, a thready pulse of 120 beats/minute, and a respiratory rate of 10 breaths/minute with periods of apnea. Using the disaster triage system, which action should the nurse take?

  • A Obtain the crash cart and defibrillator.
  • B Assign a black triage color.
  • C Transport to radiology department.
  • D Initiate a large bore IV infusion.

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