CM IV, EXAM 1 CHAPTERS 8, 9, 10,

CM IV, EXAM 1 CHAPTERS 8, 9, 10, 1.) A patient who attempted suicide being treated in the ED is accompanied by his mother, father, and brother. When planning the nursing care of this family, the nurse should perform which of the following action? a. Ensure that the family receives appropriate crisis intervention services 2.) A patient is admitted to the ED with an apparent overdose of IV heroin. After stabilizing the patient’s cardiopulmonary status, the nurse should prepare to perform what intervention? a. Administer naloxone hydrochloride (Narcan). 3.) The ED nurse admitting a patient with a history of depression is screening the patient for suicide risk. What assessment question should the nurse ask when screening the patient? a. Have you ever thought about taking your own life? 4.) An ED nurse is triaging patients according to the Emergency Severity Index (ESI). When assigning patients to a triage level, the nurse will consider the patients acuity as well as what other variable? a. The resources that the patient is likely to require 5.) A patient who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments? a. Assessment of respiratory status 6.) While developing an emergency operations plan (EOP), the committee is discussing the components of the EOP. During the post-incident response of an emergency operations plan, what activity will take place? a) Conducting a critique and debriefing for all involved in the incident 7.) Emergency department (ED) staff members have been trained to follow steps that will decrease the risk of secondary exposure to a chemical. When conducting decontamination, staff members should remove the patients clothing and then perform what action? a. Rinse the patient with water. 8.) An industrial site has experienced a radiation leak and workers who have been potentially affected are en-route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action? a. Establish a triage outside the hospital. 9.) A hospitals emergency operations plan has been enacted following an industrial accident. While one nurse performs the initial triage, what should other emergency medical services personnel do? a. Perform life-saving measures. 10.) A nurse is triaging patients after a chemical leak at a nearby fertilizer factory. The guiding principle of this activity is what? a. Doing the greatest good for the greatest number of people 11.)A nurse is triaging clients in the emergency department. Which client should the nurse classify as nonurgent? a. A 62-year-old with a simple fracture of the left arm 12.)The complex care provided during an emergency requires interdisciplinary collaboration. Which interdisciplinary team members are paired with the correct responsibilities? (Select all that apply.) a. Psychiatric crisis nurse Interacts with clients and families when sudden illness, serious injury, or death of a loved one may cause a crisis e. Paramedic Provides prehospital advanced life support, including cardiac monitoring, advanced airway management, and medication administration 13.)A nurse assesses a client recently bitten by a coral snake. Which assessment is the priority? a. Respiratory rate and depth 14.)Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first? a. Assess that the client is breathing adequately 15.) The nurse in the emergency department is performing an assessment on a client who sustained a right finger laceration from a fishhook while fishing. The nurse asks the client which priority question? a. “When did you receive your last tetanus immunization?” 16.) A client is brought to the emergency department by the police after having seriously lacerated both wrists. The initial action that the nurse should take is which step? a. Assess and treat the wound sites 17.) ***With a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid strength? (Question got blurred out) 18.) A nurse is assisting with disaster triage following a bomb explosion in a bus station. Which of the following clients should the nurse identify as being the highest priority? a. A conscious adult with second degree burns on both lower legs 19.) A 6-year-old is admitted to the ED after being rescued from a pond after falling through the ice while ice skating. What action should the nurse perform while rewarming patient? a. Ensuring continuous ECG monitoring 20.) A nurse enters a client’s room and sees that ashes from a cigarette are beginning to ignite trash in a waste basket. Which of the following actions should the nurse take first? a. Rescue the client from immediate danger 21.) A client is admitted to the emergency department with complaints of severe radiating chest pain, and a myocardial infarction is suspected the nurse immediately applies oxygen to the client and plans to take which action first? a. Call the laboratory to prescribe stat blood work b. Notify the coronary care unit to inform them that the client will need admission c. Obtain a 12-lead ECG d. Call radiology to prescribe a chest radiograph 22.) A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Which of the following actions should the nurse take first? a. Wash the area of the puncture thoroughly with soap and water. 23.) A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? a. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site