Nokea
When planning the response to the potential use of smallpox as an agent of terrorism, the emergency department (ED) nurse-manager will plan to obtain sufficient quantities of which of the following supplies?
- A. Blood
- B. Vaccine
- C. Atropine
- D. Antibiotics
Correct Answer: B
Rationale: Smallpox infection can be prevented or ameliorated by the administration of vaccine given rapidly after exposure. The other interventions would be helpful for other agents of terrorism but not for smallpox.
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The nurse in the emergency department is involved in triaging clients during a mass casualty incident. During this situation, which of the following is the triage time frame?
- A. 15 seconds
- B. 30 seconds
- C. 1 minute
- D. 2 minutes
Correct Answer: A
Rationale: Disaster triage in the hospital setting must be rapid and conducted in less than 15 seconds. After this rapid assessment, clients with higher levels of acuity are directed to a treatment location in the emergency department.
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.
A nurse is developing policy related to emergency management and basis the set-up of the hospital incident command policy on the knowledge that the primary function of the incident command centre is which of the following functions?
- A. Complete a register with the names of all individuals involved
- B. Provide information to keep the media informed of the event
- C. Provide a central point for decision making.
- D. Organize the efforts of all of the first responders to avoid duplication.
Correct Answer: C
Rationale: The primary function of the hospital incident command centre is to provide a central point in which decision making can occur with the goal of supporting the needs of responders in the field.
When using the START triage system, the nurse will assess a client who has a sprained wrist and ankle with which of the following colours?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: A
Rationale: A client with sprains would be tagged green using the START system, indicating minor injuries that do not require immediate treatment.
These four clients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed?
- A. A 72-year-old with palpitations and chest pain
- B. A 45-year-old complaining of 6/10 abdominal pain
- C. A 22-year-old with multiple fractures of the face and jaw
- D. A 30-year-old with a misaligned right leg with intact pulses
Correct Answer: C,A,B,D
Rationale: The highest priority is to assess the 22-year-old client for airway obstruction, which is the most life-threatening injury. The 72-year-old client may have chest pain from cardiac ischemia and should be assessed and have diagnostic testing for this pain. The 45-year-old client may have abdominal trauma or bleeding and should be seen next to assess circulatory status. The 30-year-old appears to have a possible fracture of the right leg and should be seen soon, but this client has the least life-threatening injury.