Exam 13: Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response

The nurse is reviewing a 40-year-old patient's immunization schedule.At which age should the patient have received the most recent tetanus booster vaccination?

The nurse is receiving a victim of a traumatic amputation in the emergency department.What should the nurse do with the amputated limb? (Select all that apply.)

The nurse determines that a patient has a normal capillary refill time.What was this patient's refill time?

A homeless person is brought to the hospital for weakness,feeling faint,and having a headache.The patient's skin is cool and clammy and vital signs are temperature 99.9°F,pulse 100 bpm,respirations 18/minute,blood pressure 108/60 mm Hg.What action should the nurse take?

The nurse in the emergency department is triaging victims of a building collapse.Which victim should the nurse determine is a priority for care?

A patient who has fallen has superficial abrasions and an abdomen that is distended,firm,and tender when touched.Which complication should the nurse consider that this patient is experiencing?

A patient seeking treatment after being in a house fire has thermal burns to the neck and shoulders and singed nasal hairs.Which action should the nurse take first?

The nurse is caring for a patient who was bitten by a snake.Which action should the nurse take to decrease the effects of the venom?

A patient with a head injury is diagnosed with increased intracranial pressure.In which position should the nurse maintain the patient's head to assist in reducing intracranial pressure?

While assessing a victim of a motor vehicle crash,the nurse notes that the patient's trachea is shifted towards the left.What does this finding indicate to the nurse?

The nurse is caring for a patient who reports being bitten by a coral snake less than an hour ago.Which symptoms should the nurse expect to assess in this patient? (Select all that apply.)

A patient who sustained multiple injuries in a motor vehicle crash is brought to the emergency department.After the primary survey,what should be the nurse's next action?

The nurse is preparing teaching for the home treatment of ingested poisons.Which medication is no longer recommended for use at home to induce vomiting for certain ingested poisons?

A patient who works in a non-air conditioned manufacturing plant is experiencing weakness and a headache.The patient's skin is cool and clammy,temperature is slightly elevated,and pulse rate is rapid.For which health problem should the nurse plan care for this patient?

The nurse is planning care for a patient who experienced a near-drowning.What should the nurse identify as the goal of care for this patient?

A patient is brought to the emergency department after a motor vehicle crash.Which symptom assessed during data collection should the nurse report promptly?

A patient who has ingested a corrosive product is vomiting.For which potential complication should the nurse prepare to provide care to this client?

A patient with severe hypothermia is comatose with fixed dilated pupils,flaccid muscles,and ventricular fibrillation.Which body temperature should the nurse expect to assess in this patient?

The nurse is helping triage in the emergency department as victims of an explosion are being brought in.Rank (1-5)the following patients according to their need for priority treatment according to disaster response protocols and best chance of survival.

The nurse is caring for a patient who has sustained an abdominal injury in a motor vehicle crash.Which symptom should be the most concerning to the nurse?