After a major earthquake, which client should the nurse treat first in the triage area?

In a triage situation following a major earthquake, prioritizing clients based on the severity of their condition is crucial for effective care. The client exhibiting high-pitched, crowing inspiratory respirations is showing signs of stridor, which indicates a significant airway obstruction. This is a life-threatening situation, as it suggests that the airway is compromised and the client may be at risk of respiratory failure if immediate intervention is not provided.

Addressing airway issues is a priority in emergency settings because the airway must be secured in order to ensure adequate oxygenation and prevent further deterioration of the patient’s condition. The presence of stridor typically signifies that the client may require urgent interventions such as airway management, which can include supplemental oxygen, medications, or advanced airway techniques.

In comparison, while the other clients also present with concerning signs, their conditions do not pose an immediate threat to life in the same urgent manner. Therefore, the client with stridor must be treated first to stabilize their airway and ensure they receive the critical care necessary to survive.