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Disaster Triage: Identifying Clients for Black Tag Assignmen
Disaster Triage: Identifying Clients for Black Tag Assignmen ...
A nurse is performing disaster triage at a field hospital following a structural collapse. Advanced life support resources are limited.
Which client should be assigned a black tag?
A. A client with a penetrating head wound, unresponsive to pain, irregular respirations, and a fixed, dilated pupil
B. A client with a chest wall bruise, shallow respirations, and tracheal deviation to the right
C. A client with an open femur fracture, cool extremity, delayed capillary refill, and confusion
D. A client who is found conscious, but unable to move the legs, with a distended abdomen and bruising across the lower torso
ANSWER:
The answer is A E
Explanation
In disaster triage, a black tag is assigned to clients who are expected to die or are deceased, meaning they have injuries incompatible with life or require extensive resources that are not available in a mass-casualty setting.
The client in option A shows signs of severe traumatic brain injury with no meaningful neurological response and irregular respirations, indicating nonsurvivable injuries.
Other options (B, C, D) involve serious but potentially survivable injuries if treated, so they would not receive a black tag.
So, A is the client who should be assigned a black tag.
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