Nokea
A client arrives in the emergency department after exposure to radioactive dust. Which of the following actions should the nurse take first?
- A. Place the client in a shower.
- B. Obtain the client's vital signs
- C. Determine the type of radioactive agent.
- D. Obtain a baseline complete blood count.
Correct Answer: A
Rationale: The initial action should be to protect staff members and decrease the client's exposure to the radioactive agent by decontamination. The other actions can be done after the decontamination is completed.
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The nurse is triaging a client who arrives in the emergency department experiencing shock. Using the START system, which of the following colours should the nurse assign to this client?
- A. Red
- B. Black
- C. Green
- D. Yellow
Correct Answer: A
Rationale: Shock, airway obstruction, and unstable wounds would be assigned a colour category of red, indicating immediate need for treatment due to life-threatening conditions.
The nurse is triaging a client who arrives in the emergency department after a disaster with massive head trauma. Using the START system, which of the following colours should the nurse use to tag this client?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: D
Rationale: A client with massive head trauma would be tagged black using the START system, because the client is unlikely to survive due to the severity of the injury.
A health care team is testing its acute care centre emergency plan. This test occurs during which of the following phases of emergency management?
- A. Response
- B. Recovery
- C. Mitigation
- D. Preparedness
Correct Answer: D
Rationale: Emergency exercises are conducted in the preparedness phase, to promote staff preparation, evaluate the organization's level of preparedness, and assist in training staff in emergency management roles.
Which of the following levels/agencies is accountability for emergency planning and response in Canada?
- A. Municipal government
- B. Provincial government
- C. Federal government
- D. Health Canada
Correct Answer: A
Rationale: Accountability for emergency planning and response in Canada is held by individual municipal governments, the underlying principle being that communities possess the greatest knowledge of their individual needs and thus are in a strategic position to most effectively plan for and manage local emergency events.
The nurse is assessing a client in the emergency department and identifies the following: hemoptysis, cough, temperature of 40°C (104°F), and a history of recent travel to an area with a high risk for tuberculosis. Which of the following actions should the nurse take first?
- A. Administer supplemental oxygen.
- B. Place the client in an airborne isolation room.
- C. Obtain a sputum culture.
- D. Administer antipyretic medication.
Correct Answer: B
Rationale: The symptoms and travel history suggest possible tuberculosis, which is highly infectious. Placing the client in an airborne isolation room is the priority to prevent transmission to others. Administering oxygen, obtaining a sputum culture, and giving antipyretics are important but secondary to infection control.