Exam 69: Nursing Management: Emergency and Disaster Nursing

A 24-year-old is brought to the emergency department with multiple lacerations and tissue avulsion of the right hand after catching the hand in a produce conveyor belt. When asked about tetanus immunization, the patient says, "I've never had any vaccinations." The nurse will anticipate administration of tetanus

During the primary assessment of a patient with multiple trauma, the nurse observes that the patient's right pedal pulses are absent and the leg is swollen. The nurse's first action should be to

A 67-year-old patient who has fallen from a ladder is transported to the emergency department by ambulance. The patient is unconscious on arrival and accompanied by family members. During the primary survey of the patient, the nurse should

When assessing a patient admitted to the emergency department with a broken arm and facial bruises, the nurse notes multiple additional bruises in various stages of healing. Which statement or question by the nurse is most appropriate?

When a patient is admitted to the emergency department after a submersion injury, which assessment will the nurse obtain first?

When rewarming a patient who arrived in the emergency department with a temperature of 87° F, which assessment indicates that rewarming should be stopped?

When planning the response to the potential use of smallpox as a biologic weapon, the emergency department manager will focus on obtaining sufficient quantities of

During the summer, a patient with heat cramps is treated in the emergency department. The nurse determines that discharge teaching regarding the prevention of another episode of heat cramps has been effective when the patient states,

All of the following actions are needed for a patient admitted with multiple bee stings to the hands. Which one will the nurse accomplish first?

A patient has been brought to the emergency department with a gunshot wound to the abdomen. In obtaining a history of the incident to determine possible injuries, the nurse asks

A patient is admitted to the emergency department after a near-drowning accident in a local lake. The patient received rescue breathing at the site and now has spontaneous respirations. The nurse will observe the patient for several hours to monitor for symptoms of

When preparing to rewarm a patient with hypothermia, the nurse will plan to

An unresponsive 78-year-old patient is admitted to the emergency department in a coma during a summer heat wave. The patient's core temperature is 106.2° F (41.2° C), blood pressure (BP) 86/52, and pulse 102. The nurse will plan to

A patient has experienced blunt abdominal trauma from a motor vehicle accident. The nurse should explain to the patient the purpose of

A 77-year-old patient is brought into the emergency department unconscious and with a core temperature of 89° F (31.6° C). During rewarming measures, the nurse determines that the goals of treatment are being met when the patient

An unconscious patient is admitted to the emergency department 45 minutes after ingesting approximately 30 diazepam (Valium) tablets. The health care provider prescribes gastric lavage. The first action the nurse will plan when implementing the order is to

During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment by the nurse should be to

When caring for a patient with head and neck trauma after a motorcycle accident, the emergency department nurse's first action should be to

Four victims of an automobile crash are brought by ambulance to the emergency department (emergency department). The triage nurse determines that the victim who has the highest priority for treatment is the one with

A patient is brought to the hospital in cardiac arrest by emergency personnel who are performing resuscitation. The spouse arrives as the patient is taken into a treatment room and asks to stay with the patient. The nurse should