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NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning - Mastery Level Target: Level 3

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NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning - Mastery Level Target: Level 3

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NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning - Mastery Level
Target: Level 3



Which treatment for anthrax would be included in the o Antibiotics
biological agent portion of a disaster plan for terrorist · Anthrax is treated effectively with antibiotics if sufficient supplies are available
attacks? and the organisms are not resistant. Antivirals would not be effective against
o Antivirals anthrax, and there is no established treatment for most viruses that cause
o Antitoxins hemorrhagic fever. Botulism is treated with antitoxin, though several vaccines are
o Antibiotics being studied. Smallpox can be prevented or the incidence reduced by
o Vaccinations vaccination, even when first given after exposure.



Which is the minimum length of time victims of a large o 23 hours
scale near-drowning incident brought to the emergency· Complications can develop in victims who are essentially free of symptoms
department would be kept under observation in the immediately after a near-drowning episode. This secondary drowning refers
to hospital? delayed death from drowning due to pulmonary complications. Consequently, all
o 12 hours victims of near-drowning should be observed in a hospital for a minimum of 23
o 18 hours hours, and longer if they have comorbidities. Twelve hours and 18 hours are too
o 23 hours soon to rule out secondary drowning. The clients need not be kept under
o 48 hours observation for 48 hours if they do not have comorbidities.



Which emergency medical service agency offers service o Disaster Mortuary Operational Response Teams (DMORT)
for a group of clients admitted to the emergency unit with · The National Disaster Medical System (NDMS) is responsible for managing the
mass fatalities? Federal Government’s medical response to medical emergencies and disasters.
o Medical Reserve Corps (MRC) One of their additional services is the DMORT. DMORTs manage mass fatalities.
o Hospital Incident Command System (HICS) The MRC offers its services to health care facilities or the community in a
o International Medical-Surgical Response Teams (IMSRT) supportive to supplemental capacity during times of need, such as a disaster or
o Disaster Mortuary Operational Response Teams pandemic disease outbreak. HICS is a part of National Incident Management
(DMORT) System (NIMS) that standardizes disaster operations. IMSRT establishes fully
functional field surgical facilities.

,Which personnel of the institutional emergency response o Community public information officer
plan serves as a liaison between hospital administration · The community public information officer is a person who serves as a liaison
and the media during a mass casualty incident such as an between the health care facility and the media releasing only appropriate
or earthquake or a terrorist attack? accurate information about the incident. A triage officer is a primary health
care
o Triage officer provider or nurse who rapidly evaluates each client to determine priorities for
o Medical command physician treatment. A medical command physician is the personnel who decides the
o Hospital incident commander number, acuity, and resource needs of the clients. A hospital incident commander is
o Community public information officer a primary health care provider or administrator who assumes overall leadership for
implementing the emergency plan.

Which personnel would the nurse state are responsible o Hospital incident commander
for deciding the number, acuity, and resources needed for · Medical command physicians have the authority to decide the number, acuity,
clients during a disaster? and resources needed for clients during a disaster. Triage officers are the primary
o Triage officer health care providers or nurses who are responsible for evaluating the clients
o Community relations officer rapidly and determining the priority of treatment. The community relations officer
o Medical command physician serves as a liaison between the health care facility and the media. Hospital
o Hospital incident commander incident commanders act as leaders and are responsible for implementing
the emergency plan.



Which agent of terrorism can cause death within a few o Sarin gas
minutes? · Sarin gas is an agent for bioterrorism that can cause death within minutes of
o Sarin gas exposure by paralyzing respiratory muscles. Uranium and iodine-131 can be
o Uranium dangerous in close proximities but are not as harmful as sarin gas. Mustard gas
o Iodine-131 causes blisters on the skin but does not cause death within a few minutes.
o Mustard gas


Which would the nurse consider to be an example of a o Hospital fire
potential internal disaster? · An internal disaster is any kind of event inside a health care facility or campus that
o Hospital fire could endanger the safety of clients or health care staff. A fire in a hospital is an
o Fertilizer plant explosion example of an internal disaster that can cause harm to the clients and the staff. A
o Nuclear reactor explosion fertilizer plant explosion is an external disaster. A nuclear reactor explosion may
o Terrorist device explosion cause radiation exposure to the external environment. Terrorism with
explosive devices is an external disaster.


Which training measure is most effective to adequately o Drills
familiarize health care providers with emergency · Hospital disaster drills are priority training measures to familiarize health care
response procedures? providers with emergency response procedure. Other methods that can also be
o Drills used include tabletop exercises and computer simulations; however, these
o Tabletop exercises methods will not provide immersive practice comparable to well-planned drills.
o Access to the policy Access to the policy is important but will not provide real world experience for
o Computer simulations emergency response procedures.


Which team would be mobilized to manage the o Disaster Mortuary Operational Response Teams (DMORTs)
deceased at the earthquake zone where many people · DMORTs are a part of the DMAT. This team is specialized in managing mass
lost their lives? fatalities during a disaster. The MRC helps staff hospitals or community health care
o Medical Reserve Corps (MRC) settings that face shortages of nurses. They establish first aid stations and special-
o National Veterinary Response Teams (NVRTs) needs shelters in disasters. NVRTs provide emergency care to animals. IMSRTs
o International Medical-Surgical Response Teams provide fully functional field surgical facilities all over the world, wherever it is
(IMSRTs) required.
o Disaster Mortuary Operational Response
Teams (DMORTs)

, Which is the function of the medical command physician o Deciding the number, acuity, and resource needs of clients
according to the Emergency Preparedness and Response · The function of the medical command physician, according to the
Emergency Plan? Preparedness and Preparedness Plan, is deciding the number, acuity, and
resource o Deciding the number, acuity, and resource needs of needs of clients. The function of the community relations or
public information clients officer is serving as a liaison between the health care facility and the media. The
o Serving as a liaison between the health care facility and function of the hospital incident commander is assuming overall leadership for
the media implementing the emergency plan. The function of the triage officer is evaluating
o Assuming overall leadership for implementing the each client rapidly to determine priorities for treatment.
emergency plan
o Evaluating each client rapidly to determine priorities
for treatment



Which scenario is an internal disaster that might delay a o Lack of communication because of a damaged telephone system in the
specialist from providing on-time treatment to a client? hospital
o A tornado near the hospital · An event inside the health care facility that could endanger the safety of clients
o An earthquake near the hospital premises or staff indicates internal disaster. Other examples of internal disasters include fire,
o Severe flooding explosion, and loss of critical utilities such as electricity, water, and
o Lack of communication because of a damaged communications capabilities. The delay in treating the client in the emergency
telephone system in the hospital department due to a damaged telephone system indicates internal disaster.
Tornados, severe storms, and earthquakes are external disasters that are
responsible for delayed treatment.



Which statement would the nurse know to be true o Sarin can cause death within minutes of exposure.
regarding the characteristics of sarin? · Sarin is a highly toxic nerve gas that can cause death within minutes of exposure.
o Sarin causes skin burns and blisters. Mustard gas causes skin burns and blisters. A garlic-like odor and brown color are
o Sarin can cause death within minutes of exposure. characteristics of mustard gas. Although pralidoxime chloride (2-PAM chloride) is
o A garlic-like odor and brown color are characteristics used as an antidote for nerve agent poisoning, multiple doses may be needed to
of sarin. reverse the effects of nerve agents; also, sarin acts by paralyzing the respiratory
o A single dose of pralidoxime chloride (2-PAM chloride) muscles.
reverses the effects of long-term sarin exposure.


Which personnel are responsible for identifying the need o Medical command physician
for and calling in specialty trained providers in · The medical command physician is responsible for identifying the resource needs
emergencies? of the clients. The medical command physician identifies the need for and calls in
o Triage officer the specialty trained providers in emergencies. Triage officers are responsible for
o Public information officer rapidly evaluating each client to determine priorities for treatment. The public
o Medical command physician information officer serves as a liaison between the health care facility and the
o Hospital incident commander media. The hospital incident commander is the one who assumes
overall leadership for implementing the emergency plan.



Which are examples of internal disasters that must be o Fire
accounted for when formulating a disaster response o Power outage
plan? Select all that apply. · Examples of internal disasters that must be accounted for when formulating a
o Fire disaster plan include fire and power outage. A hurricane and earthquake, both
o Hurricane natural disasters, are classified as external disasters. An act of terrorism is also
o Earthquake considered an external disaster.
o Power outage
o Act of terrorism

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