Emergency And Disaster Nursing All Solution 100% Correct Spring Fall-2023/24 Edition Guaranteed Grade A+
should be seen first? A. A patient with burns on the face and chest; BP 120/80 mm Hg, HR 92, RR 24. B. A patient with a deformed leg indicating a fractured tibia; BP 110/60 mm Hg, HR 86, RR 18. C. A patient with type 1 diabetes in ketoacidosis; BP 100/60 mm Hg, HR 100 beats/min, RR 32. D. A patient with a respiratory infection with a cough productive of greenish sputum; BP 128/86 mm Hg, HR 88, RR 26. C. A patient with type 1 diabetes in ketoacidosis; BP 100/60 mm Hg, HR 100 beats/min, RR 32. Assessment of a male patient during the primary survey indicates delayed capillary refill of the extremities. He cannot explain the events before admission to the ED. Which action should the nurse take immediately? A. Apply leads to the patient's chest to initiate ECG monitoring. B. Insert one or two large-bore IV catheters to start IV fluid resuscitation. C. Continue the primary survey to complete a brief neurologic examination. D. Initiate pulse oximetry by placing a monitoring device on the patient's index finger. D. Initiate pulse oximetry by placing a monitoring device on the patient's index finger. Several patients are admitted to the ED after exposure to an aerosolized agent that is believed to be a hemorrhagic fever virus used as a bioterrorism agent. Which statement by the nurse is most appropriate? A. "Treatment for this viral disease is mostly supportive." B. "Ciprofloxacin (Cipro) is the best treatment for this disease." C. "This disease cannot be spread by contact with body fluids." D."A vaccine is available to prevent transmission of this disease." A. "Treatment for this viral disease is mostly supportive." A client is admitted to the emergency department with reports of syncope, weakness, and dizziness. Upon further assessment and questioning the nurse suspects the client is a victim of human trafficking. Which of the following assessment findings may suggest that a client is the victim of human trafficking? (Select all that apply) A. The client is withdrawn and nervous. B. Burns are present without a clear explanation of what happened. C. The client appears dehydrated with a very low blood pressure and pulse rate. D. The client is wearing a heavy sweater and pants in the middle of summer. A, B, C, D An elderly man arrives in triage disoriented and tachypneic. His skin is hot and dry. His wife states that he was fine earlier today. The nurse's next priority would be to A) obtain a detailed medical history for his wife. B) assess his vital signs, including a rectal temperature. C) determine the kind of insurance he has before treating him D) start supplemental oxygen and have the ED physician see him B) assess his vital signs, including a rectal temperature. A patient has a core temperature of 90F (32.2 C). The most appropriate rewarming technique would be; A) passive rewarming with body-to-body contact B) active core rewarming using warmed IV fluids C) passive rewarming using air-filled warming blankets D) active external rewarming by submersing in a warm bath B) active core rewarming using warmed IV fluids Effective interventions to decrease absorption or increase elimination of an ingested poison include which of the following (select all that apply): A) Hemodialysis B) Milk dilution C) Eye irrigation D) Gastric lavage E) Activated charcoal A) Hemodialysis D) Gastric lavage E) Activated charcoal An elderly woman arrives in the ED complaining of severe pain in her right shoulder. The nurse notes that her clothes are soiled with urine and feces. She tells the nurse that she lives with her son and the she "fell." She is tearful and asks you if she can be admitted. The nurse should consider which of the following: A) Paranoia B) Possible cancer C) Family violence D) Orthostatic hypertension C) Family violence A chemical explosion occurs at a nearby industrial site. The first responders report that victims are being decontaminated at the scene and approximately 125 workers will need medical evaluation and care. The nurse receiving this report should know that this will first require activation of: A) a code blue alert B) a disaster medical assistance team C) the local police and fire department D) the hospital's emergency response plan. D) the hospital's emergency response plan. A male patient is brought into the emergency department with multiple stab wounds to the legs, one stab wound to the left abdomen, and gang tattoos on both arms. He refused to identify his attacker and then loses consciousness. Police identify him as the assailant in the fatal stabbing of another man. What is the nurse's priority? A. Guard locked access doors. B. Maintain patient safety from revenge. C. Maintain personal and work place safety. D. Attain open patient airway and breathing. C. Maintain personal and work place safety. The nurse's priority is to maintain personal and work place safety. Violence can erupt in the emergency department when treating gang members if the rival gang seeks revenge, or the patient's gang members seek to protect the patient with their presence. Staff members can be victims of that violence, so they should maintain a safe work environment by seeking law enforcement and security assistance in maintaining safety for the staff and the patient. ABCs are the usual priority, but this situation does not show any problem with the patient's airway or breathing. Three days after experiencing a series of tick bites, a patient presents to the emergency department. Which manifestation would indicate the patient is experiencing tick paralysis? A. Respiratory distress B. Aggression and frequent falls C. Decreased level of consciousness D. Fever and necrosis at the bite sites A. Respiratory distress CONTINUED...
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