ENA Triage and Patient Evaluation Flashcards
6 cards from real Uncategorized practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ENA Triage and Patient Evaluation flashcards as text
What is the first step in the triage process in an emergency department?
Answer: Primary assessment of airway, breathing, and circulation
Initial assessment or primary survey is the first step in triage, focusing on life-threatening conditions that need immediate attention.
Which triage level indicates a life-threatening condition requiring immediate care?
Answer: Level 1
Level 1 in the Emergency Severity Index (ESI) is reserved for patients with life-threatening conditions needing immediate resuscitation.
What is the primary purpose of the Emergency Severity Index (ESI)?
Answer: To prioritize patients based on acuity and resource needs
The ESI is a five-level triage tool used to categorize patients based on urgency and resource needs.
A patient arrives with a respiratory rate of 8 breaths per minute. What should be the triage nurse's priority action?
Answer: Initiate airway management
A respiratory rate of 8 indicates hypoventilation and potential respiratory failure, requiring immediate airway and ventilation support.
Which patient should be triaged first in a mass casualty incident?
Answer: Patient with severe bleeding and stable airway
In mass casualty triage, patients with life-threatening conditions who are likely to survive with immediate care are prioritized.
What is a key sign of decompensated shock in patient evaluation?
Answer: Altered mental status
Altered mental status is a critical indicator of decompensated shock, suggesting inadequate perfusion to the brain.