The nurse is preparing to triage victims of a train derailment who are being transported to the emergency department. Which victims would need immediate care? Select all that apply
A) Holding broken arm, sitting in a chair
B) Respiratory rate of 8 and irregular
C) Bleeding from fractured limb with a blood pressure of 78/40 mmHg
D) Bleeding from superficial facial wounds and talking to family
E) Walking with a slight limp, asking for something to drink
Answer: B, C
Emergent or immediate care is needed for life-threatening issues that require prompt treatment and care. Stabilization of the client's condition is critical. A respiratory rate of 8 and a blood pressure of 78/40 mmHg would be emergent. Urgent or delayed care is for serious health conditions in which a delay of treatment and care would not result in life-threatening situations. Holding a broken arm sitting in a chair and bleeding from superficial facial wounds while talking with family would be urgent. Non-urgent or minor issues do not require prompt care. Many of these clients can ambulate and are stable in their conditions. The client walking with a limp and asking for something to drink would be non-urgent.
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