Difficulty: Medium
Average Score: 65%
Simulated
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct answer
A
Rationale
In mass casualty triage, an apneic client who does not resume breathing after airway repositioning is tagged black, indicating non-salvageable status.