56. Victims of a disastrous earthquake have been transported to an emergency department. Which victim should the nurse assess first?
56. Victims of a disastrous earthquake have been transported to an emergency department. Which victim should the nurse assess first?
. A victim with second-degree burns on 25% of the body.
. A victim with facial lacerations.
. A victim with a Glasgow Coma Scale score of 15 who is hyperventilating.
. A victim with no heartbeat.
Test-Taking Tip
The priority in a disaster is the most critical with the greatest potential for survival if treated.
Content Area: Adult Health, Triage; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Establishing Priorities
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Answer 1 is correct because this client will likely survive the injury with pain medication and fluids. Answer 2 is incorrect because this client is not a priority as the injuries are not life-threatening. Answer 3 is incorrect because this victim has a normal coma scale score, and should be seen after the victim with burns. Answer 4 is incorrect because this client in a triage situation is not considered to be a priority.