The following four clients arrive to the ER. Which one will the nurse assess first?

Irritable infant with a fever, petechiae and nuchal rigidity

What is the nurse's primary responsibility in preparing for any type of disaster?

Knowing the agency's emergency plan

There are 3 Levels of Disaster that are defined by what organization?

The Federal Emergency Management Agency

Symptomatic clients arrive & report being exposed to a “gas bomb”. What is the priority action?

Direct the clients to the decontamination area

What is the most critical elements in performing disaster triage for multiple victims?

Check airway, breathing and circulation

When a primary survey of a trauma client is done, what is one of the priority actions?

Perform a brief neuro assessment

What is the most important priority action in the ER if a bioterroist attack occurs.

Protect the environment & safety of personnel & clients

4 clients arrive to the ED after a MVA. Which one should be assessed first?

The client with multiple fractures of the face & jaw

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NUR 265 Disaster/Triage Nursing

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Questions 14

Answers

1
The following four clients arrive to the ER. Which one will the nurse assess first?
Irritable infant with a fever, petechiae and nuchal rigidity
An ambulatory, dazed client with a bandaged head wound
A client with moderate abdominal pain & occasional vomiting
A jogger with a twisted ankle, a pedal pulse & no deformity
2
What is the nurse's primary responsibility in preparing for any type of disaster?
Knowing how & what to report to the CDC
Be aware of the S&S of potential agents of bioterrorism
Knowing the agency's emergency plan
Making ethical decisions about exposing self to danger
3
There are 3 Levels of Disaster that are defined by what organization?
The Centers for Disease Control
The American Red Cross
The World Health Organization
The Federal Emergency Management Agency
4
When a hospital practices mock disaster drills this is an example of?
Response
Preparedness
Mitigation
Recovery
5
Encouraging the construction of safe rooms in homes & public structures is an example of ?
Recovery
Response
Preparedness
Mitigation
6
Symptomatic clients arrive & report being exposed to a “gas bomb”. What is the priority action?
Direct the clients to the clean zone for fast treatment.
Direct the clients to the decontamination area
Measure vital signs & listen to lung sounds
Instruct clients to don personal protective equipment
7
What is the most critical elements in performing disaster triage for multiple victims?
Check airway, breathing and circulation
Obtain vital signs, and complete neuro assessment
Obtain a list of current medications & allergies
Obtain past medical & surgical histories
8
Temporary housing and developing a rebuilding plan are examples of this phase.
Mitigation
Preparedness
Recovery
Response
9
When a primary survey of a trauma client is done, what is one of the priority actions?
Check the pulse oximetry reading
Perform a brief neuro assessment
Obtain a complete set of vital signs
Palpate and ausculate the abdomen
10
What is the most important priority action in the ER if a bioterroist attack occurs.
Decontaminate the affected clients in a separate area
Report to the public health department of CDC per protocol
Perform triage according to protocol
Protect the environment & safety of personnel & clients
11
4 clients arrive to the ED after a MVA. Which one should be assessed first?
The client with palpitations & chest pressure
The client with a misaligned right leg and intact pulses.
The client with multiple fractures of the face & jaw
The client complaining of abdominal pain rated 6 out of 10.
12
The Red Cross sends trained personnel to provide assistance after a disaster. This is called?
Mitigation
Response
Recovery
Preparedness
13
An unconscious client arrives to the ER after a fall. During a primary survey the nurse should
obtain a Glasgow coma score
do a pain assessment
do a complete focus assessment
obtain a medical history
14
A client arrives with diaphoresis, dizziness, & chest pain. What category should they be?
Non-urgent
Urgent
Emergent
High-urgent

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