Chapter 66--Mass Casualty Care

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Chapter 66--Mass Casualty Care MULTIPLE CHOICE 1. The nurse in the emergency department is using a triage system because this system ranks clients by: 1. severity of illness or injury. 2. bo ... dy systems involved. 3. name. 4. age. PTS: 1 DIF: Apply REF: Triage 2. In the event of a mass casualty situation, the best triage nurse is: 1. the recently graduated registered nurse (RN). 2. the licensed vocational nurse (LVN) with 5 years’ experience. 3. the registered nurse (RN) with the most experience and best assessment skills. 4. the recently graduated licensed vocational nurse (LVN). PTS: 1 DIF: Analyze REF: Triage 3. The nurse, triaging victims of a mass casualty incident, will focus attention on the victims who are color coded as: 1. green. 2. yellow. 3. red. 4. black. PTS: 1 DIF: Apply REF: START Method of Triage 4. The emergency room nurse is utilizing a triage approach for a mass casualty incident that is different from traditional triage. The difference between these two triage approaches is that: 1. mass casualty is first come, first served; traditional is most critical first. 2. mass casualty is most likely to survive first; traditional is first come, first served. 3. mass casualty is most critical first; traditional is most likely to survive first. 4. mass casualty is most likely to survive first; traditional is most critical first. PTS: 1 DIF: Apply REF: START Method of Triage 5. The emergency department nurse is preparing to triage victims of an internal event. Which of the following would be considered an internal event? 1. Bus crash in front of the hospital 2. Train crash 5 miles away 3. Fire in the hospital 4. Explosion in a nearby oil station PTS: 1 DIF: Analyze REF: HEICS Activator 6. The Emergency Preparedness Committee in a health care organization is reviewing available supplies for a mass casualty event since supplies need to be able to support the organization’s functioning for: 1. 24 hours. 2. 48 hours. 3. 96 hours. 4. 1 week. PTS: 1 DIF: Apply REF: Hospital Operations Plan 7. When reviewing the potential for biological warfare, the nurse realizes that one of the greatest bioterrorism threats in the world today is: 1. chickenpox. 2. smallpox. 3. rabies. 4. influenza. PTS: 1 DIF: Analyze REF: Smallpox 8. The nurse is a member of the emergency preparedness committee, and she learns that anthrax is a bioterrorism threat that could infect and kill large numbers of people. Because of this, the organization should have which of the following on stock to treat anthrax? 1. No treatment available 2. Adrenaline injections 3. Intravenous or oral ciprofloxacin 4. Oral Benadryl PTS: 1 DIF: Apply REF: Anthrax: Pharmacology 9. A client is diagnosed with West Nile virus. The nurse should instruct the client that the most common carriers of this virus are: 1. rats. 2. birds. 3. mosquitoes. 4. cows. PTS: 1 DIF: Apply REF: West Nile Virus: Etiology 10. Victims of a chemical spill are brought to the hospital for treatment. The nurse learns that 50 victims will be arriving within the hour. When preparing for these victims, the nurse should ensure that which of the following is available? 1. A small designated area to decontaminate the victims 2. A medium-sized area to decontaminate the victims 3. A large area to decontaminate the victims 4. The entire emergency department is available to decontaminate the victims PTS: 1 DIF: Apply REF: Decontamination 11. The nurse is told to wear a Level B Hazmat suit when decontaminating victims of a mass casualty incident. The nurse realizes that this suit will provide: 1. the highest level of respiratory and skin protection. 2. resistance to chemicals, and it is impermeable to gases and vapors. 3. respiratory protection, but it will allow chemical vapors to permeate the suit. 4. splash protection and chemical resistance. . PTS: 1 DIF: Analyze REF: Box 66-4 OSHA PPE Levels MULTIPLE RESPONSE 1. The nurse is preparing to assess a client who was a victim of a blast injury. Prior to assessing the client, which are the mechanisms of a blast injury that the nurse will review? (Select all that apply.) 1. Primary 2. Secondary 3. Acute 4. Tertiary 5. Quaternary 6. Chronic PTS: 1 DIF: Apply REF: Blast Injuries 2. The nurse believes a client is experiencing a reaction to a traumatic event when which of the following is assessed? (Select all that apply.) 1. Client is not responding verbally to assessment questions. 2. Client complains of dizziness. 3. Client’s blood pressure is 120/80 mmHg. 4. Client complains of nausea. 5. Client asks for medication for a headache. 6. Client asks for something to drink. PTS: 1 DIF: Analyze REF: Table 66-5 Common Responses to a Traumatic Event 3. The nurse is concerned about developing post-traumatic stress disorder after working for several years in the emergency department. Which of the following should the nurse do to ensure this disorder does not manifest? (Select all that apply.) 1. Eat well-balanced meals. 2. Drink water. 3. Limit caffeine. 4. Limit sugar intake. 5. Exercise at least 4 times a week for 30 minutes. 6. Ingest at least one alcoholic drink every evening. ANS: 1, 2, 3, 4, 5 The nurse must learn to handle stress to reduce the onset of post-traumatic stress disorder by eating well-balanced meals, drinking water, limiting caffeine, limiting sugar intake, and exercising at least 4 times a week for 30 minutes. A daily intake of alcohol could be a sign that post-traumatic stress disorder is developing. PTS: 1 DIF: Apply REF: Post-traumatic Stress Disorder: Planning and Implementation 4. The nurse is participating in a debriefing session after participating in the care of victims of a mass casualty incident. Which of the following will occur during this debriefing session? (Select all that apply.) 1. The process for the debriefing will be explained. 2. Individual reactions to the event will be discussed. 3. Symptoms that the nurse may experience will be reviewed. 4. Stress reduction techniques will be provided. 5. Prescriptions for antianxiety medications will be provided. 6. Physician follow-up appointments will be made. PTS: 1 DIF: Analyze REF: Box 66-9 The Eight Phases of a Debriefing 5. The nurse is a member of a committee designing the hospital’s emergency incident command system. Which of the following are the four components of the committee’s design? (Select all that apply.) 1. Relief support 2. Staffing 3. Planning 4. Operations 5. Logistics 6. Finance PTS: 1 DIF: Apply REF: Hospital Emergency Incident Command System [Show More]

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