Exam 69: Nursing Management: Emergency, Terrorism, and Disaster Nursing

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During the primary assessment of a victim of a motor vehicle collision,the nurse determines that the patient is breathing and has an unobstructed airway.Which action should the nurse take next?

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B

Gastric lavage and administration of activated charcoal are ordered for an unconscious patient who has been admitted to the emergency department (ED)after ingesting 30 lorazepam (Ativan)tablets.Which action should the nurse plan to do first?

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B

The following four patients arrive in the emergency department (ED)after a motor vehicle collision.In which order should the nurse assess them? (Put a comma and a space between each answer choice [A,B,C,D,E].) A) A 74-year-old with palpitations and chest pain B) A 43-year-old complaining of 7/10 abdominal pain C) A 21-year-old with multiple fractures of the face and jaw D) A 37-year-old with a misaligned left leg with intact pulses

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C,A,B,D
The highest priority is to assess the 21-year-old patient for airway obstruction,which is the most life-threatening injury.The 74-year-old patient may have chest pain from cardiac ischemia and should be assessed and have diagnostic testing for this pain.The 43-year-old patient may have abdominal trauma or bleeding and should be seen next to assess circulatory status.The 37-year-old appears to have a possible fracture of the left leg and should be seen soon,but this patient has the least life-threatening injury.

A 54-year-old patient arrives in the emergency department (ED)after exposure to powdered lime at work.Which action should the nurse take first?

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During the primary survey of a patient with severe leg trauma,the nurse observes that the patient's left pedal pulse is absent and the leg is swollen.Which action will the nurse take next?

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A patient who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel.During the primary survey of the patient,the nurse should

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A patient who has experienced blunt abdominal trauma during a motor vehicle collision is complaining of increasing abdominal pain.The nurse will plan to teach the patient about the purpose of

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Family members are in the patient's room when the patient has a cardiac arrest and the staff start resuscitation measures.Which action should the nurse take next?

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A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED).The nurse determines that discharge teaching has been effective when the patient makes which statement?

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A patient is admitted to the emergency department (ED)after falling through the ice while ice skating.Which assessment will the nurse obtain first?

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When preparing to cool a patient who is to begin therapeutic hypothermia,which intervention will the nurse plan to do ?

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Following an earthquake,patients are triaged by emergency medical personnel and are transported to the emergency department (ED).Which patient will the nurse need to assess first?

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A 19-year-old is brought to the emergency department (ED)with multiple lacerations and tissue avulsion of the left hand.When asked about tetanus immunization,the patient denies having any previous vaccinations.The nurse will anticipate giving

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When planning the response to the potential use of smallpox as an agent of terrorism,the emergency department (ED)nurse manager will plan to obtain adequate quantities of

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An unresponsive 79-year-old is admitted to the emergency department (ED)during a summer heat wave.The patient's core temperature is 105.4° F (40.8° C),blood pressure (BP)88/50,and pulse 112.The nurse initially will plan to

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The emergency department (ED)triage nurse is assessing four victims involved in a motor vehicle collision.Which patient has the highest priority for treatment?

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A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the urgent care center.Which action will the nurse plan to take?

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The emergency department (ED)nurse is initiating therapeutic hypothermia in a patient who has been resuscitated after a cardiac arrest.Which actions in the hypothermia protocol can be delegated to an experienced licensed practical/vocational nurse (LPN/LVN)?

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A 20-year-old patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets.Which action will the nurse plan to take?

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After the return of spontaneous circulation following the resuscitation of a patient who had a cardiac arrest,therapeutic hypothermia is ordered.Which action will the nurse include in the plan of care?

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