Nokea
The nurse is orienting to the emergency department and finds cases of potassium iodide tablets located in the supply closet. The nurse asks the nurse manager, 'What is the purpose of this agent?' What is the nurse manager's best response?
- A. Potassium iodide is given to individuals who come to the emergency department dehydrated to replenish their potassium level.'
- B. Potassium iodide is given to individuals diagnosed with hypothyroidism in the emergency department.'
- C. Potassium iodide is given to individuals as a prophylaxis for protecting the thyroid gland from absorption of radiation in case of an accident at the local nuclear plant.'
- D. Potassium iodide is given to individuals who are given furosemide intravenously in the emergency department to replenish their potassium level.'
Correct Answer: C
Rationale: The nurse manager's best response is, 'Potassium iodide is given to individuals as a prophylaxis for protecting the thyroid gland from absorption of radiation in case of an accident at the local nuclear plant,' because this best describes the rationale for keeping the medication on hand. The US Nuclear Regulatory Commission (NRC) currently requires states with a population within 10 miles of a commercial nuclear plant to have immediate access to a supply of potassium iodide (KI) tablets.
You may also like to solve these questions
The student nurse is completing a simulation where a client is the victim of nerve gas. The instructions are for the student to set up the room and have all needed supplies available. Which medication does the student nurse ensure is in the medication administration system to control seizures?
- A. Phenobarbital intramuscular
- B. Neurontin tablets
- C. Valium intravenous injection
- D. Dilantin tablets
Correct Answer: C
Rationale: The student nurse is correct to have Valium intravenously on hand for seizure activity. When seizure activity occurs, the intravenous route is the best option to deliver the medication safely and rapidly into the system.
The emergency department nurse manager is orienting the new nurse regarding bioterrorism. The nurse manager would include which indicator(s) as an example of bioterrorism? Select all that apply.
- A. Small amount of people sick in a variety of locations in the area
- B. Clusters of sick people from a shared locale
- C. High outbreak of similar symptoms among previously healthy people
- D. Increased numbers of sick people seeking health care
- E. Majority of individuals presenting with general malaise
Correct Answer: B,C,D
Rationale: The nurse manager would explain that indicators of bioterrorism could include clusters of sick people from a shared locale, high outbreak of similar symptoms among previously healthy people, and increased numbers of sick people seeking healthcare. General malaise would not be the primary presentation of any bioterrorism attack.
The nurse is on a community awareness safety committee. When prioritizing biological agents according to potential morbidity and mortality, which cluster of biological agents hold the highest mortality?
- A. Hantavirus, tuberculosis
- B. Botulism, Salmonella
- C. Anthrax, smallpox
- D. Escherichia coli, Brucella species
Correct Answer: C
Rationale: The cluster of agents with the highest mortality includes anthrax and smallpox. The Hantavirus and tuberculosis agents are not presently used for bioterrorism. Botulism and Salmonella as well as Escherichia coli and Brucella species are of low mortality.
The nurse is caring for a client affected by a nerve agent. The nurse quickly gives a tutorial on the neurotransmitters and nervous system affected. Which couplet is most correct?
- A. Acetylcholine, parasympathetic nervous system
- B. Serotonin, sympathetic nervous system
- C. Norepinephrine, sympathetic nervous system
- D. Dopamine, parasympathetic nervous system
Correct Answer: A
Rationale: Nerve agents cause fatal consequences by inhibiting acetyl cholinesterase. Acetyl cholinesterase is an enzyme that inactivates acetylcholine, a neurotransmitter of the parasympathetic nervous system. No other option is correct.
The nurse educator is preparing a presentation about the indicators of chemical terrorism. The nurse educator would include which indicator(s) in the presentation? Select all that apply.
- A. Fog-like or low-lying cloud in the atmosphere
- B. Numerous dead animals and birds
- C. Increase in temperature in area of the event
- D. Strong wind in area of the event
- E. Unexplained odor atypical for the location
Correct Answer: A,B,E
Rationale: The indicators that the nurse educator would include in the presentation are fog-like or low-lying cloud in the atmosphere, numerous dead animals and birds, and unexplained odor atypical for the location. The temperature in the area would not increase after a chemical event. There would be no wind associated with a chemical event.