The nurse is assessing clients on site at a multi-vehicle accident. Triage clients in the order they should receive care. (Place in order of priority.)
a. A 50-year-old with chest trauma and difficulty breathing
b. A mother frantically looking for her 6-year-old son
c. An 8-year-old with a broken leg in his father's arms
d. A 60-year-old with facial lacerations and confusion
e. A pulseless male with a penetrating head wound
a, d, b, c, e
Clients should be prioritized with ABCs and emergent, urgent, and nonurgent status. The client with chest trauma and difficulty breathing is the priority because no clients have an airway prob-lem, and this is the only client with a breathing problem. The client with confusion should be seen next. Confusion can be caused by lack of oxygen to the brain due to a circulation problem. The pulseless client with a penetrating head wound is seen last because there are multiple clients to be seen, and care for this client would be futile. The client with a broken leg is nonurgent and can wait. The mother looking for her son should be seen third. Finding the child is urgent to identify potential injuries.
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