BIO 102 Medical-Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMon

Medical-Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMon

CHAPTER 7

Chapter 7

1. A nursing coordinator is being briefed on a situation that needs special attention. A school bus transporting a local university’s basketball team has just crashed in the rain on the side of the road. The bus was transporting approximately 60 people. Which classification would most closely describe the situation?

Hint: Types of Disasters

Answer Choices:

1. A natural disaster 
2. A multiple-casualty incident
3. A manmade disaster
4. A mass-casualty incident

2. An Emergency Department nurse is working when a dirty bomb detonates at a nearby shopping mall. Which types of injuries should the nurse expect to see in the victims?

Hint: Types of Disasters and Common Injuries

Answer Choices:

1. Fractured limbs and spinal injury

   2. Radiation sickness          

1. Thermal burns
2. Overexertion and exhaustion

3. A new-to-practice nurse is caring for a client who suffered a blast injury to the eye. Which nursing intervention, performed by this new-to-practice nurse, would require follow-up by the preceptor?

Hint: Disaster-Related Eye Injuries

Answer Choices:

1. The nurse encourages the client to rub the eye to get out specks of dust.
2. The nurse uses eyewash to flush the client’s eye.
3. The nurse stabilizes the eye with a rigid shield.
4. The nurse tapes a plastic bag full of crushed ice to the client’s forehead.

4. An Emergency Department nurse is working when two school buses carrying 75 children each collide in route to an out-of-state field trip. The Emergency Department nurse knows that reverse triage will need to be instituted. Which principles come under reverse triage? Select all that apply.

Hint: Casualty Management

Answer Choices:

1. When there is a mass casualty event with greater than 100 victims, reverse triage may be instituted.
2. A very basic reverse triage system is to categorize or label victims needing the most support and emergency care as red, so they can be treated first.
3. Victims most likely to survive are color-coded black, and are treated first.
4. Reverse triage works on the principle of the greatest good for the greatest number.
5. Reverse triage works on the principle of the greatest good for the most critically ill.

5. An Emergency Department nurse is informed of a nearby bombing at the World Trade Center. This nurse needs to be aware of the principles of triage and decontamination. In which zone does decontamination usually occur?

Hint: Casualty Management

Answer Choices:

1. In the hot zone
2. In the warm zone
3. In the cold zone
4. In the artic zone

6. A nurse is working during a routine, scheduled disaster drill. The nurse is reviewing the stages and phases of a disaster with a new-to-practice nurse. Which answer choice, if provided by this new-to-practice nurse, correctly lists the order of the stages of a disaster?  

Hint: Disaster Planning, Response, and Mitigation

7. A nurse is teaching a seminar on disaster preparedness to a group of senior citizens at an assisted living facility. Which statement, if made by a client, demonstrates the need for further teaching?

Hint: Special Considerations, Older Adults

Answer Choices:

1.      “I need to keep a list of names and phone numbers of significant persons or relatives to be notified in a secure place in case of an emergency.”

2.       “I need to keep a 24-hour supply of medications and the style and serial numbers of medical devices in a secure place in case of an emergency.”

3.       “I need to keep a list of allergies, blood type, checkbook, credit cards, and dietary needs in a secure place in case of an emergency.”

4.       “I need to keep a blanket, sturdy shoes, warm clothes, hearing aids, and hearing aid batteries in a secure place in case of an emergency.”