UPDATE | WITH COMPLETE SOLUTION
In the work setting, what is the nurse's primary responsibility in preparing for
the management of disasters, including natural disasters and bioterrorism
incidents?
a) knowing the agency's emergency response plan
b) being aware of the signs and symptoms of potential agents of bioterrorism
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
Answer - A.
In preparing for disasters, the RN should be aware of the emergency response
plan. The plan gives guidance that includes the roles of team members,
responsibilities of reporting. Signs and symptoms of exposure to many agents
will mimic common complaints such as flulike symptoms. Discussions with
colleagues and supervisors may help the individual nurse to sort through
ethical dilemma related to potential danger to self.
A group of people arrive at the emergency department by private car. The all
have periorbital swelling, coughing and tightness in the throat. There is a
strong odor emanating from their clothes. They report exposure to a "gas
bomb" that was set off in their house. Which action is the priority?
a) measure vital signs and listen to lung sounds
b) direct patient to the decontamination area
c) alert security about possible terrorism activity
,d) direct patient to cold or clean zones for immediate treatment Answer - B.
Decontamination in a specified area is the priority. Performing assessments
delay decontamination and does not protect the total environment. Personnel
should do personal protective equipment before assisting with
decontamination or assessing the patients. The patients must undergo
decontamination before entering cold or clean areas. The nurse should notify
the charge nurse or nurse manager about communicating with security
regarding potential terrorist activities.
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.
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 Answer - A.
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?
a. an advanced practice nurse and an experienced RN
b. an experienced LPN/LVN and an inexperienced RN
c. an experienced RN and inexperienced RN
d. an experienced RN and an experienced assistive personnel (AP) Answer - A.
, Triage requires at least one experienced RN. Advanced practice nurses can
perform medical screening exams, and this expedites treatment and decreases
overall time spent in the ED. Pairing an experienced RN with an inexperienced
RN provides opportunities for mentoring. This would be the second-best
choice. Pairing an experienced RN with an experienced AP is an option if
licensed staff is unavailable because the AP can measure vital signs and assist in
transporting. An LPN/LVN should not perform the initial patient assessment or
decision making, the expertise of the LPN/LVN could be used elsewhere in a
busy ED.
Which statement below is incorrect about the yellow triage tag color regarding
a disaster situation?
a. a survivor with this tag color is seen after patients with the green tag color
b. a survivor with this tag color can have treatment delayed for an hour or less
c. a survivor with this tag color has serious injuries that could eventually lead to
the compromise of breathing, circulation, or mental status, especially if
treatment is delayed more than an hour or so
d. a survivor with this tag color has second priority for treatment of injuries
Answer - A.
This statement is INCORRECT. It should say: A survivor with this tag color is
seen after patients with the RED (not green) tag color
what phase of emergency management includes exercises and drills?
a. mitigation
b. preparedness
c. recovery
d. response Answer - B.
During a disaster, the person responsible for leading the response effort in the
incident: