ANSWERS.
The hospital administration issues a statement that surge capacity is likely to be
exceeded because state-wide measures have not been successful in "flattening
the curve" of COVID-19 (coronavirus) cases. How is this information most likely
to affect the nursing staff? Answer - Nurses will be asked to work extra shifts or
keep working beyond end-of-shift.
An emergency department clinical nurse specialist is training staff in how to
don and doff personal protective equipment (PPE) when caring for patients
with infections such as Ebola. Which staff member has demonstrated the most
grievous error during the practice session? Answer - An emergency medical
technician doffs both pairs of gloves first.
The charge nurse in an emergency department (ED) must assign two staff
members to cover the triage area. Which team is best for this assignment?
Answer - An advanced practice nurse and an experienced RN
The nurse is working in the triage area 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. Answer - 1. An irritable
newborn with a fever, petechiae, and nuchal rigidity
2. An ambulatory, dazed 25-year-old man with a bandaged head wound
3. A 50-year-old woman with moderate abdominal pain and occasional
vomiting
4. A 35-year-old jogger with a twisted ankle who has a pedal pulse and no
deformity
, When a primary survey of a trauma patient is conducted, which action would
be performed first? Answer - Perform a brief neurologic assessment.
A 56-year-old patient comes to the triage area with left-sided chest pain,
diaphoresis, and dizziness. What is the priority action? Answer - Administer
oxygen via nasal cannula.
The patient's blood alcohol level is 0.45%. Based on this information, what is
the priority nursing concept that underlies emergency medical and nursing
interventions for this patient? Answer - Gas Exchange
According to the Emergency Nurses' Association (ENA), what are the main
issues when providing emergency care for patients with mental health
problems or psychiatric disorders? Select all that apply. Answer - - Seeking and
ruling out medical causes for psychiatric behaviors and problems
- Ensuring safety for patients, staff, and others related to restraints, aggressive
behavior, and agitation
- Improving length of stay in the emergency department (ED) related to lack of
resources and providers' decisions about disposition
- Establishing ongoing care after triage by dedicated psychiatric emergency
nurses
- Improving communication to describe symptoms and findings in hand-off,
disposition, and follow-up care
It is the summer season, and patients with signs and symptoms of heat-related
illness come to the emergency department. Which patient needs attention
first? Answer - Homeless person who displays altered mental status, poor
muscle coordination, and hot, dry, ashen skin; duration of heat exposure is
unknown