NRSG 3420 EXAM 3 With Correct Solutions

NRSG 3420 EXAM 3 With Correct
Solutions.




ER MCI DISASTER - CORRECT ANSWER✔✔ER MCI DISASTER
j j j j j j j




The nurse has been notified that the ED is expecting terrorist attack victims and that level D personal
j j j j j j j j j j j j j j j j j




protective equipment (PPE) is appropriate. What does level D PPE include?
j j j j j j j j j j j




A chemical-resistant coverall with splash hood, chemical-resistant gloves, and boots
j j j j j j j j j j




A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-tight, chemical-resistant suit
j j j j j j j j j j j




with chemical-resistant gloves and boots.
j j j j j j




The SCBA and a chemical-resistant suit, but the suit is not vapor tight
j j j j j j j j j j j j j




The nurse's typical work uniform - CORRECT ANSWER✔✔Correct response:
j j j j j j j j




The nurse's typical work uniform
j j j j

,Explanation:

The typical work uniform is appropriate for Level D protection
j j j j j j j j j




Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed.,
j j j j j j j j j j j j j




Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing, Personal
j j j j j j j j j j j j j




Protective Equipment, p. 2201.
j j j j




There has been a radiation-based terrorist attack and a client is experiencing vomiting, diarrhea, and shock
j j j j j j j j j j j j j j j




after the attack. How will the client's likelihood of survival be characterized?
j j j j j j j j j j j j




Extended j




Improbable j




Possible j




Probable - CORRECT ANSWER✔✔Correct response:
j j j j




Improbable



Explanation:

Clients who experience vomiting, diarrhea, and shock after radiation exposure are categorized as improbable
j j j j j j j j j j j j j




survival, because they are demonstrating symptoms of exposure levels of more than 800 rads of total body-
j j j j j j j j j j j j j j j j j




penetrating irradiation. j

,Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed.,
j j j j j j j j j j j j j




Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing, Survival, p.
j j j j j j j j j j j j j j




2211.
j




A nurse has been called for duty during a response to a natural disaster. In this context of care, the nurse should
j j j j j j j j j j j j j j j j j j j j j




expect to do which of the following?
j j j j j j j




Practice outside of her normal area of clinical expertise.
j j j j j j j j j




Prioritize psychosocial needs over physiologic needs.
j j j j j j




Prioritize the interests of older adults over younger clients.
j j j j j j j j j




Perform interventions that are not based on assessment data. - CORRECT ANSWER✔✔Correct response:
j j j j j j j j j j j j




Practice outside of her normal area of clinical expertise.
j j j j j j j j




Explanation:

During a disaster, nurses may be asked to perform duties outside their areas of expertise and may take on
j j j j j j j j j j j j j j j j j j




responsibilities normally held by physicians or advanced practice nurses.
j j j j j j j j j




Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed.,
j j j j j j j j j j j j j




Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing, The Nurse's
j j j j j j j j j j j j j j




Role in Disaster Response Plans, p. 2198.
j j j j j j j

, A client is brought to the ER in an unconscious state. The health care provider notes that the client is in need of
j j j j j j j j j j j j j j j j j j j j j j




emergency surgery. No family members are present, and the client does not have identification. What action
j j j j j j j j j j j j j j j j




by the nurse is most important regarding consent for treatment?
j j j j j j j j j j




Clearly document LOC and health status on the client's chart.
j j j j j j j j j




Obtain a court order to treat the client.
j j j j j j j




Ask the social worker to come and sign the consent.
j j j j j j j j j




Contact the police to obtain the client's identity. - CORRECT ANSWER✔✔Correct response:
j j j j j j j j j j j




Clearly document LOC and health status on the client's chart.
j j j j j j j j j




Explanation:

When clients are unconscious and in critical condition, the condition and situation should be documented to
j j j j j j j j j j j j j j j




administer treatment quickly and timely when no consent can be obtained by usual routes. A social worker is
j j j j j j j j j j j j j j j j j j




not asked to sign the consent. Finding the client's identity is not a priority. Obtaining a court order would take
j j j j j j j j j j j j j j j j j j j j




too long.
j j




Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed.,
j j j j j j j j j j j j j




Philadelphia, Wolters Kluwer, 2018, Chapter 72: Emergency Nursing, Documentation of Consent and Privacy,
j j j j j j j j j j j j j




p. 2157.
j j




The nurse manager in the ED receives information that a local chemical plant has had a chemical leak. This
j j j j j j j j j j j j j j j j j j




disaster is assigned a status of level II. What should this classification indicate to the nurse?
j j j j j j j j j j j j j j j j