The nurse stops on the way home to assist in the care of victims of a multi-motor vehicle crash site. The emergency response team uses a five level triage system. In which order should the nurse triage victims?

1. Victim walking with a limp
2. Victim bleeding from a gaping leg wound
3. Victim with a pulse of 20 and apneic periods
4. Victim sitting on the side of the road staring
5. Victim with shallow respirations and chest pain


5, 2, 1, 4, 3

Rationale 1: The victim walking with a limp would be classified as Green.

Rationale 2: The victim bleeding from a gaping leg wound would be classified as Yellow.

Rationale 3: The victim with a pulse of 20 and apneic periods would be classified as Black.

Rationale 4: The victim sitting on the side of the road staring would be classified as Blue.

Rationale 5: The victim with shallow respirations and chest pain would be classified as Red.

Global Rationale: The victim with shallow respirations and chest pain would be classified as Red. The victim bleeding from a gaping leg wound would be classified as Yellow. The victim bleeding from a gaping leg wound would be classified as Yellow. The victim bleeding from a gaping leg wound would be classified as Yellow. The victim with a pulse of 20 and apneic periods would be classified as Black.

Nursing

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