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Exam (elaborations)

NSG 444 Exam 3 – Questions With Expert Solutions

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NSG 444 Exam 3 – Questions With Expert Solutions

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NSG 444 Exam 3 – Questions With Expert Solutions

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Terms in this set (98)



In the work setting, what is the nurse's A.
primary responsibility in preparing for In preparing for disasters, the RN should be aware of
the management of disasters, including the emergency response plan. The plan gives
natural disasters and bioterrorism guidance that includes the roles of team members,
incidents? responsibilities of reporting. Signs and symptoms of
a) knowing the agency's emergency exposure to many agents will mimic common
response plan complaints such as flulike symptoms. Discussions with
b) being aware of the signs and colleagues and supervisors may help the individual
symptoms of potential agents of nurse to sort through ethical dilemma related to
bioterrorism potential danger to self.
c) knowing how and what to report to
the Centers for Disease Control and
Prevention
d) making ethical decisions about
exposing self to potentially lethal
substances

,A group of people arrive at the B.
emergency department by private car. Decontamination in a specified area is the priority.
The all have periorbital swelling, Performing assessments delay decontamination and
coughing and tightness in the throat. does not protect the total environment. Personnel
There is a strong odor emanating from should do personal protective equipment before
their clothes. They report exposure to assisting with decontamination or assessing the
a "gas bomb" that was set off in their patients. The patients must undergo decontamination
house. Which action is the priority? before entering cold or clean areas. The nurse should
a) measure vital signs and listen to lung notify the charge nurse or nurse manager about
sounds communicating with security regarding potential
b) direct patient to the terrorist activities.
decontamination area
c) alert security about possible
terrorism activity
d) direct patient to cold or clean zones
for immediate treatment

, The nurse is working in the triage area A.
of an emergency department, and the
following four patients approach the
triage desk at the same time. List the
order in which the nurse will assess
these patients.
1. An ambulatory, dazed 25 year old
with a bandaged head wound
2. An irritable newborn with fever,
petechiae, and nuchal ridgity
3. A 35 year old jogger with a tqisted
ankle who has a pedal pulse and no
deformity
4. A 50 year old woman with moderate
abdominal pain and occasional
vomiting


a. 2, 1, 4, 3
b. 3, 4, 2, 1
c. 2, 4, 1, 3
d. 4, 2, 1, 3


The charge nurse in an emergency A.
department (ED) must assign two staff Triage requires at least one experienced RN.
members to cover the triage area. Advanced practice nurses can perform medical
Which team is best for this assignment? screening exams, and this expedites treatment and
a. an advanced practice nurse and an decreases overall time spent in the ED. Pairing an
experienced RN experienced RN with an inexperienced RN provides
b. an experienced LPN/LVN and an opportunities for mentoring. This would be the
inexperienced RN second-best choice. Pairing an experienced RN with
c. an experienced RN and an experienced AP is an option if licensed staff is
inexperienced RN unavailable because the AP can measure vital signs
d. an experienced RN and an and assist in transporting. An LPN/LVN should not
experienced assistive personnel (AP) perform the initial patient assessment or decision
making, the expertise of the LPN/LVN could be used
elsewhere in a busy ED.

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