The triage nurse is assessing a client who has been brought to the emergency department (ED) by emergency medical services (EMS) following a mass casualty incident

Which assessment ques-tions are used to determine the appropriate triage category for the client? (Select all that apply.) a. "Can you wiggle your toes?"
b. "Are you having any difficulty breath-ing?"
c. "Are you allergic to any medications?"
d. "Does your family know that you are here?"
e. "Can you tell me what day it is?"
f. "Do you have any abdominal or back pain?"


A, B, E, F
The triage nurse should assess for possible spinal cord injury, shortness of breath, abdominal or back pain, and disorientation when the client is brought to the ED. Determining allergies, al-though important, does not assist in categorizing clients, nor does inquiring about the client's family.

Nursing

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