Nurse Moose
    Hesi compass B exit proctored exam

    One hundred victims of a train derailment are brought to the Emergency Department of a small rural hospital. An older client with extensive crushing injuries to the lower extremities and pelvis has a blood pressure of 42/28, a thready pulse of 120 beats/minute, and a respiratory rate of 10 breaths/minute with periods of apnea. Using the disaster triage system, which action should the nurse take?