ATI RN Predictor Assessment Exit | Nurselytic

Correct Answer: D

Rationale: The correct answer is D. Diminished breath sounds and paradoxical chest movement indicate a tension pneumothorax, a life-threatening condition requiring immediate intervention to prevent respiratory failure. The nurse should prioritize this client to ensure timely treatment and prevent further deterioration.
Explanation for other choices:
A: A client with fixed and dilated pupils likely has a severe brain injury, but airway and breathing take precedence in triage situations.
B: Dislocated shoulder with pain level 8 is painful but not life-threatening compared to compromised breathing.
C: Scalp laceration with intermittent bleeding can be managed after addressing more critical conditions like tension pneumothorax.
In summary, prioritizing airway and breathing issues in a mass casualty situation is crucial to optimize outcomes.

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