Chapter 68 Emergency and Disaster Nursing PDF

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TestBank-Medical-SurgicalNursing:AssessmentandManagementofClinicalProblems10e

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Chapter68:EmergencyandDisasterNursing TestBank MULTIPLECHOICE 1.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? a.

Palpateextremitiesforbilateralpulses.

b.

Observethepatientsrespiratoryeffort.

c.

Checkthepatientslevelofconsciousness.

d.

Examinethepatientforanyexternalbleeding.

ANS:B Evenwithapatentairway,patientscanhaveotherproblemsthatcompromiseventilation,sothenextactionis toassessthepatientsbreathing.Theotheractionsarealsopartoftheinitialsurveybutassessmentofbreathing shouldbedoneimmediatelyafterassessingforairwaypatency. DIF:CognitiveLevel:Apply(application)REF:1630 TOP:NursingProcess:AssessmentMSC:NCLEX:PhysiologicalIntegrity 2.Duringtheprimarysurveyofapatientwithseverelegtrauma,thenurseobservesthatthepatientsleftpedal pulseisabsentandthelegisswollen.Whichactionwillthenursetakenext? a.

Sendbloodtothelabforacompletebloodcount.

b.

Assessfurtherforacauseofthedecreasedcirculation.

c.

Finishtheairway,breathing,circulation,disabilitysurvey.

d.

Startnormalsalinefluidinfusionwithalarge-boreIVline.

ANS:D Theassessmentdataindicatethatthepatientmayhavearterialtraumaandhemorrhage.Whenapossiblylifethreateninginjuryisfoundduringtheprimarysurvey,thenurseshouldimmediatelystartinterventionsbefore proceedingwiththesurvey.Althoughacompletebloodcountisindicated,administrationofIVfluidsshould bestartedfirst.CompletionoftheprimarysurveyandfurtherassessmentshouldbecompletedaftertheIV fluidsareinitiated. DIF:CognitiveLevel:Apply(application)REF:1630 TOP:NursingProcess:ImplementationMSC:NCLEX:PhysiologicalIntegrity 3.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?

TestBank-Medical-SurgicalNursing:AssessmentandManagementofClinicalProblems10e

a.

Applyexternalcoolingdevice.

b.

Checkmentalstatusevery15minutes.

c.

Avoidtheuseofsedativemedications.

d.

Rewarmiftemperatureis...