ATI Community Health Practice Quiz Latest Update Already Passed

ATI Community Health Practice Quiz Latest Update Already Passed A chare nurse in an emergency department is informed that a tornado touched down in a nearby town and mass casualties are en route. which of the followin ...

ATI Community Health Practice Quiz Latest Update Already Passed A chare nurse in an emergency department is informed that a tornado touched down in a nearby town and mass casualties are en route. which of the following actions should the nurse take first? A. Follow Facility policy to activate the disaster plan B. Prepare the triage rooms. C. Obtain additional supplies D. Call in off-duty staff Correct Answer-A is correct The nurse has little information other than that several clients are expected in a short period of time. According to evidenced-based practice, the nurse should first follow the facility's policy for activating the disaster plan (this might mean calling the nursing supervisor or the administrator). The disaster plan will then delineate the role and responsibilities of all responders, ensuring that clients are treated in a safe and orderly manner by an adequate number of caregivers. b. The nurse should prepare the triage rooms to facilitate rapid client prioritization; however, evidencebased practice indicates that the nurse should take a different action first. c. The nurse should obtain additional supplies to ensure the emergency department is stocked and ready for treatment of clients; however, evidence-based practice indicates that the nurse should take a different action first. d. The nurse might need to call in off-duty staff to care for a high number of incoming clients; however, evidence-based practice indicates that the nurse should take a different action first. A nurse is planning to participate in a public educaiton program about prevention of West Nile virus. Which of the following instructions should the nurse include in her presentation? A. "Eliminate sources of standing water." B. "Make sure your immunizations are up to date." C. "Keep all of your pets indoors." D. "Spray insect nests with a repellant that contains DEET." Correct Answer-A is correct Standing water provides an environment for mosquitoes to lay eggs. Therefore, clients should empty water from flower pots, pet food and water dishes, birdbaths, swimming pool covers, buckets, barrels, and cans at least once per week. Discarded tires and other items that collect water should be disposed of. b. There is no known immunization against the West Nile virus; therefore, clients should be educated about other prevention measures. c. West Nile virus is not transmitted through pets, but can be transmitted from person to person through blood products, breast milk, or organ transplantation. d. West Nile virus can be transmitted when an infected mosquito bites a human to take in blood. Diethyltoluamide (DEET) is the most effective and best-studied insect repellent available. Studies using humans and mosquitoes report that only products containing DEET offer long-lasting protection after a single application; however, DEET only repels, it does not kill. There would be no benefit to spraying DEET anywhere except on the human body or clothing. A nurse is performing a community assessment in a rural setting. Which of the following types of health care should the nurse recognize is most likely to be absent in this setting? A. Tertiary care B. Primary prevention C. Chronic care D. Secondary prevention Correct Answer-A is correct Tertiary care, or specialized care through consultation, is usually obtained following a referral from a primary care provider. Specialists provide tertiary care and typically work in large medical centers that have personnel and facilities for special procedures. This level of care is not readily available in most rural settings. b. Primary prevention is the prevention of disease before it happens, such as through immunizations or wellness promotion. Primary prevention usually takes place in either a primary care provider's office or wellness clinic. Primary care providers, although not as numerous in rural settings, are more available than other levels of care. Providers and nurses trained in family practice or internal medicine traditionally provide primary care and primary prevention in rural settings. c. Chronic care is required by clients who have chronic health conditions. Primary care providers provide care to clients who have chronic conditions in rural communities. In this setting, clients who have chronic care needs are often provided care by family members in the home. Continuing or long-term health care can also be found in long-term care facilities. d. The focus of secondary prevention is early detection and treatment of acute illness and injury to prevent disability and mortality. This type of care is typically provided in a primary care provider's office or wellness clinic. Primary care providers, although not as numerous in a rural setting, are more available than other levels of care. A triage nurse is in an emergency department when several hundred clients who were injured in a train collision arrive at the facility for treatment. The nurse should determine that which of the following clients requires immediate treatment? A. A client who has neck pain and was transported to the facility on a backboard B. A client who has epigastric and left-arm pain and is diaphoretic C. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min D. A client who has abdominal pain and is 2 months pregnant Correct Answer-B is correct The nurse should apply the unstable versus stable priority-setting framework. Using this framework, unstable clients are the priority because of needs that threaten the client's survival. Threats or problems involving the airway, breathing, or circulatory status are life-threatening needs that the nurse should address first. Clients whose vital signs or laboratory values indicate a risk for becoming unstable are also a higher priority than clients who are stable. The nurse might also need to use nursing knowledge to determine which option describes the most unstable client. Therefore, the triage nurse should recognize that a report of severe epigastric and left-arm pain accompanied by diaphoresis is a classic manifestation of a myocardial infarction, which is life-threatening. This client needs immediate treatment. a. A client who has neck pain and was transported to the facility on a backboard is stable; therefore, there is another client the triage nurse should recommend for immediate treatment. Neck pain is most commonly associated with a whiplash injury. c. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min is stable; therefore, there is another client the triage nurse should recommend for immediate treatment. A broken nose or a black eye is common following a collision. A respiratory rate of 16/min indicates that the client has an adequate airway. d. A client who has abdominal pain and is 2 months pregnant is stable; therefore, there is another client the triage nurse should recommend for immediate treatment. Although the client's pregnancy can cause a complication, at 2 months of gestation little can be done to prevent fetal demise if she has suffered serious abdominal trauma. A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? A. "I will limit my intake of coffee, tea, or cola beverages." B. "I will wear a large-brim had and long sleeves if I am out in the sun." C. "I will take the ciprofloxacin with an antacid if I get an upset stomach." D. "I will avoid taking ciprofloxacin along with dairy products." Correct Answer-C is correct Ciprofloxacin is an antibiotic prescribed for a wide range of serious skin infections and is also effective against inhalation anthrax. Taking ciprofloxacin with antacids can impair the absorption of the medication, reducing its effectiveness.