Nokea
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.
You may also like to solve these questions
The student nurse is working with a nurse manager at a hospital when a disaster drill is announced over the hospital P.A. system. The nurse manager asks the nursing student what color triage tag is used for clients who have life threatening, but survivable conditions, if rapid medical attention is provided. What color is the triage tag for these clients?
- A. Red
- B. Yellow
- C. Green
- D. Black
Correct Answer: A
Rationale: The nurse is asking about clients that are labeled immediate when the clients suffer with life threatening, but survivable conditions, if rapid medical attention is provided. Immediate clients are given a red triage tag. Clients with yellow triage tags are labeled delayed, and have injuries serious but stable enough to survive if treatment is delayed 6-8 hours. Clients with green triage tags are labeled minimal, and have injuries that are minor and can wait longer to be addressed. Clients with black triage tags are labeled expectant, and are expected to die.
The nurse is caring for a client exposed to a blistering agent. While the nurse is quickly decontaminating the client by showering and bagging all client clothing, what is the nurse simultaneously assessing for?
- A. Neurological compromise
- B. Respiratory compromise
- C. Cardiovascular compromise
- D. Sensory neglect
Correct Answer: B
Rationale: A person exposed to a blistering agent or vesicant must be decontaminated immediately, with clothing removed and bagged. Irrigation of the victim's eyes and application of topical analgesia, antibiotics, and lubricants to the skin occur. Simultaneously, the nurse is assessing the respiratory system for airway obstruction because blisters from inhaled toxics can swell obstructing respiratory passages.
Nurses are learning to administer the smallpox vaccine in the event of needed mass inoculation. When administering the vaccination, the nurse needs to be aware of which of the following?
- A. Administer the vaccination subcutaneously
- B. Prep the site with alcohol
- C. Aspirate when giving the injection
- D. Cover the site with a loose gauze
Correct Answer: D
Rationale: The nurse would cover the site with a loose gauze as the vaccination is a live virus. The injection is given in the deltoid intramuscularly. Alcohol should not be used to prepare the site as alcohol can inactivate the virus. The injection is given in a technique using a bifurcated needle and aspiration is not done.
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.
Which isolation category should the nurse use to guide care when caring for a client with anthrax?
- A. Standard precautions
- B. Droplet precautions
- C. Airborne precautions
- D. Contact precautions
Correct Answer: A
Rationale: Standard precautions, measures for reducing the risk of transmitting pathogens, are sufficient for caring for clients infected with anthrax. These precautions are for all patients being cared for in the hospital. Droplet, airborne, and contact precautions initiate additional measures beyond those for standard precautions.