A nursing instructor is debriefing students who participated in a community-wide disaster drill. Several students are upset with the black-tagged triage category. Which statement by the nursing instructor is best?
a. "To do the greatest good for the greatest number of people, it is necessary to sacri-fice some."
b. "Not everyone will survive a disaster, so it is best to identify those people early and move on."
c. "In a disaster, extensive resources are not used for one person at the expense of many others."
d. "With black tags, volunteers can identify those who are dying and can give them comfort care."
C
In a disaster, military style triage is used; this approach identifies the dead or expectant dead with black tags. This practice helps to maintain the goal of triage, which is doing the most good for the most people. Precious resources are not used for those with overwhelming critical injury or illness, so that they can be allocated to others who have a reasonable expectation of survival. Clients are not "sacrificed." Telling students to move on after identifying the expectant dead be-littles their feelings and does not provide an adequate explanation. Clients are not black-tagged to allow volunteers to give comfort care.
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The nurse observes a newly admitted patient in the hospital room and determines that data collection should be focused on chronic obstructive pulmonary disease. What did the nurse observe to make this decision?
a. The patient is coughing. b. The patient is lying supine in bed. c. The patient is walking around the room. d. The patient is sitting in the tripod position.
A client is admitted to the oncology unit for a low white blood count. When discussing dietary considerations with the client, a nurse knows to emphasize which of the following nutritional changes?
A) Avoidance of salads B) Consume fresh fruit with each meal C) Increase intake of low-sodium foods and low-fat dairy D) Limit intake of meat