Nokea
A patient is admitted to the ED who has been exposed to a nerve agent. The nurse should anticipate the STAT administration of what drug?
- A. Amyl nitrate
- B. Dimercaprol
- C. Erythromycin
- D. Atropine
Correct Answer: D
Rationale: Atropine counteracts nerve agent effects by blocking acetylcholine, alleviating hyperstimulation symptoms. Other drugs are for different agents or ineffective.
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A patient has been admitted to the medical unit with signs and symptoms that are suggestive of an anthrax infection. The nurse should anticipate what intervention?
- A. Administration of acyclovir
- B. Hematopoietic stem cell transplantation (HSCT)
- C. Administration of penicillin
- D. Hemodialysis
Correct Answer: C
Rationale: Penicillin is the primary treatment for anthrax, a bacterial infection. Acyclovir, HSCT, and dialysis are not indicated.
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.
A patient is being treated in the ED following a terrorist attack. The patient is experiencing visual disturbances, nausea, vomiting, and behavioral changes. The nurse suspects this patient has been exposed to what chemical agent?
- A. Nerve agent
- B. Pulmonary agent
- C. Vesicant
- D. Blood agent
Correct Answer: A
Rationale: Nerve agents cause neurological symptoms like visual disturbances, nausea, and behavioral changes due to acetylcholinesterase inhibition.
The announcement is made that the facility may return to normal functioning after a local disaster. In the emergency operations plan, what is this referred to as?
- A. Demobilization response
- B. Post-incident response
- C. Crisis diffusion
- D. Reversion
Correct Answer: A
Rationale: Demobilization response marks the transition back to normal operations after a disaster, signaling resource reallocation.
A group of military nurses are reviewing the care of victims of biochemical terrorist attacks. The nurses should identify what agents as having the shortest latency?
- A. Viral agents
- B. Nerve agents
- C. Pulmonary agents
- D. Blood agents
Correct Answer: B
Rationale: Nerve agents produce symptoms within seconds, having the shortest latency. Viral, pulmonary, and blood agents have longer latency periods.