The nurse is using the Simple Triage and Rapid Treatment (START) system to triage patients brought to the hospital after a tornado. Which triage designation has the nurse correctly assigned?
1. Red tag for a 67-year-old male complaining of chest pain; heart rate 120 beats/min, blood pressure 100/68 mmHg, respiratory rate 20 breaths/min
2. Red tag for a 27-year-old woman presenting with a respiratory rate of 36 breaths/min and capillary refill of 4 seconds
3. Yellow tag for a 58-year-old woman able to walk on her own and saying over and over, "I don't know what happened"
4. Red tag for a 30-year-old male with multiple chest trauma; respiratory effort minimal after airway is opened; carotid pulse faint
2
Rationale 1: Because this patient's respiratory rate is below 30 and blood pressure is above 80 systolic, the patient is considered urgent and should receive a yellow tag.
Rationale 2: Patients with respiratory rates above 30 and capillary refill delayed more than 2 seconds get a red tag.
Rationale 3: Patients who have minor injuries are categorized as "green.". They can walk and take care of themselves.
Rationale 4: Patients who are least likely to survive or are already deceased are color coded black. Patients with no spontaneous effective respiration, even after the airway is manually opened, would receive a black tag.
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