After a hurricane, the nurse is 11
assessing the response of a client
to stimuli on the Glasgow Coma Glasgow scale (GCS) is used by the nurse to conduct neurologic
Scale (GCS) as a part of the primary assessment as a part of primary survey. It is performed to determine
survey. The nurse observes that the the client's response to verbal and/or painful stimuli in order to assess
client opens his eyes when his the level of consciousness and degree of disability. A score of 3 is
name is stated, uses disorganized given when the client opens the eyes when the name is stated. If
words, and is unable to follow disorganized use of words is present, a score of 3 is given. A score of 5
commands, but attempts to remove is given when there is a lack of obedience but attempts to remove the
the offending stimulus. What is the offending stimulus. Therefore the client's GCS score would be 3+3+5=
Glasgow coma score for this client? 11.
Record your answer using a whole
number.____________
, HESI Disaster Planning
After an earthquake, there were a Medical Reserve Corps (MRC)
large number of deaths and Disaster Mortuary Operational Response Teams (DMORTs)
casualties who required acute care
for several days in the field. Which State and federal government authorities can activate teams such as
teams activated by state and MRC and the National Disaster Management System (NDMS) that
federal government authorities include DMAT, NVRT, DMORT, and IMSRT. MRC may set up an acute
would the nurse consider to be the care center (ACC) in the community for clients who need acute care
most suitable in managing the for days to weeks. DMORTs are effective in managing mass fatalities.
event? Select all that apply. DMAT is deployed with enough medical equipment and supplies to
1 sustain operations only for 72 hours, so it may not provide acute care
Medical Reserve Corps (MRC) to clients for several days. NVRT mainly focuses on providing
2 emergency animal care. IMSuRT establishes fully functional field
Disaster Medical Assistance Team surgical facilities during disaster events that may not be suitable in this
(DMAT) scenario.
3
National Veterinary Response
Teams (NVRTs)
4
International Medical Surgical
Response Teams (IMSuRTs)
5
Disaster Mortuary Operational
Response Teams (DMORTs)
, HESI Disaster Planning
A client rescued from a fire was Paramedics
found unconscious and having
difficulty breathing. Which team An unconscious client who is unable to breathe may require intubation.
should the nurse consider to be Paramedics are the advanced life support (ALS) providers who can
responsible for the treatment of this perform advanced techniques that include cardiac monitoring,
client? advanced airway management, and intubation. Prehospital care
1 providers are the first caregivers who provide preliminary care in an
Paramedics ambulance or a helicopter before the client is admitted to the
2 emergency department. Emergency medicine physicians have special
Prehospital care providers education and training in emergency client management. EMTs are
3 responsible for providing the basic life support interventions such as
Emergency medicine physicians oxygen, basic wound care, monitoring of vital signs, etc.
4
Emergency medical technicians
(EMTs)
Clients in which class are given a Class II
yellow tag according to the disaster
triage tag system? Class II clients may have major injuries. Though they have major
1 injuries, they can wait a short time for treatment. They are issued a
Class I yellow tag according to the disaster triage tag system. Class III clients
2 are nonurgent clients with minor injuries that do not require immediate
Class II treatment. Thus they are given green tags. Class I clients are emergent
3 clients. They require immediate treatment and are identified with red
Class III tags. Class IV clients are expected to die and they are issued black
4 tags.
Class IV
, HESI Disaster Planning
Clients with which tag are referred Green
to as "walking wounded" clients
while managing a disaster? Clients who sustained minor injuries during a disaster and can evacuate
1 themselves are referred to as walking wounded clients and they are
Red green-tagged. Red tags are given to clients who have immediate
2 threats to the life and should be treated immediately. Black tags are
Black given the clients who are not expected to live or are dead. Yellow tags
3 are given to clients who sustained major injuries and need treatment
Green within 30 minutes to 2 hours.
4
Yellow