Nokea
A nurse who is participating of a member of the local emergency response team is learning or studying about a blast injuries. The nurse should understand that in the tertiary phase of the blast injury what phase event occurs?
- A. Victims preexisting medical conditions are exacerbated.
- B. Victims are thrown by the pressure wave.
- C. Victims experience burns from the blast.
- D. Victims suffer injuries caused by debris or shrapnel from the blast.
Correct Answer: B
Rationale: The tertiary phase involves victims being thrown by the blast's pressure wave, causing traumatic injuries. Other events are not specific to this phase.
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An industrial site has experienced a radiation leak and workers who have been potentially affected are en route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action?
- A. Place all potential victims on reverse isolation.
- B. Establish a triage outside the hospital.
- C. Have hospital staff put on personal protective equipment.
- D. Place hospital staff on abbreviated shifts of no more than 4 hours.
Correct Answer: B
Rationale: External triage prevents hospital contamination by assessing and decontaminating victims outside. Other measures are less effective for this purpose.
A hospitals emergency operations plan has been enacted following an industrial accident. While one nurse performs the initial triage, what should other emergency medical services personnel do?
- A. Perform life-saving measures.
- B. Classify patients according to acuity.
- C. Provide health promotion education.
- D. Modify the emergency operations plan.
Correct Answer: A
Rationale: EMS personnel focus on life-saving interventions and transport post-triage, prioritizing immediate care over classification, education, or plan modification.
The nurse manager in the ED receives information that a local chemical plant has had a chemical leak. This disaster is assigned a status of level II. What does this classification indicate?
- A. First responders can manage the situation.
- B. Regional efforts and aid from surrounding communities can manage the situation.
- C. Statewide or federal assistance is required.
- D. The area must be evacuated immediately.
Correct Answer: B
Rationale: Level II disasters require regional support as local resources are overwhelmed, but state or federal aid is not typically needed. Evacuation is not inherently indicated by this level.
A nurse is undergoing debriefing with the critical incident stress management team after participating in the response to a disaster. During this process, the nurse will do which of the following?
- A. Evaluate the care that he or she provided during the disaster.
- B. Discuss own emotional responses to the disaster.
- C. Explore the ethics of the care provided during the disaster.
- D. Provide suggestions for improving the emergency operations plan.
Correct Answer: B
Rationale: CISM debriefing focuses on processing emotional reactions and stress symptoms, not evaluating care, ethics, or operational plans.
The ED staff has been notified of the imminent arrival of a patient who has been exposed to chlorine. The nurse should anticipate the need to address what nursing diagnosis?
- A. Impaired gas exchange
- B. Decreased cardiac output
- C. Chronic pain
- D. Excess fluid volume
Correct Answer: A
Rationale: Chlorine, a pulmonary agent, disrupts alveolar-capillary oxygen transport, causing impaired gas exchange. Other diagnoses are secondary or unlikely.