HESI RN Disaster Planning in a Small Community - Questions, Answers and Rationales

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HESI RN Disaster Planning in a Small Community - Questions, Answers and Rationales Which disaster can be categorized as an internal disaster? 1 Hurricane in a state 2 Explosion in a hospital 3 Earth ... quake in a country 4 Flooding in a town An internal disaster is any event inside a health care facility or campus that could endanger the safety of clients or staff. An explosion inside a hospital is an example of internal disaster. A hurricane, earthquake, or flooding in a town, all occurring out of the hospital setting but requiring an emergency management plan from the hospital, can be categorized as external disasters. In a mass casualty situation, which is the facility-level organizational model for disaster management used by the hospital or long-term care facility? 1 Emergency operations center (EOC) 2 Hospital Incident Command System (HICS) 3 National Incident Management System (NIMS) 4 Federal Emergency Management Agency (FEMA) The facility-level organizational model for disaster management is the Hospital Incident Command System (HICS). It attempts to standardize disaster operations by formally structuring roles under the hospital or long-term care facility incident commander with clear lines of authority and accountability for specific resources. The EOC, NIMS, and FEMA are not facility-level organizational models for disaster management. The EOC is established by the HICS personnel in a designated location with accessible communication technology to manage the overall incident. The NIMS is the overall system for incident management of which the HICS is a part; it is implemented by the Department of Homeland Security and FEMA. The FEMA provides numerous online resources so that people are better prepared for disasters and are able to respond more self-sufficiently to incidents and hazard situations in their own communities. Which phase in the disaster management continuum does the nurse understand as including the attempt to limit a disaster's impact on human health and community function? 1 Recovery 2 Response 3 Mitigation 4 Preparedness There are five phases in the disaster management continuum, which include preparedness, mitigation, response, recovery, and evaluation. In mitigation, there will be plans for attempting to limit a disaster's impact on human health and community function. Recovery includes focusing on stabilizing the community and returning it to the previous status. Response includes implementation of the disaster plan. Preparedness is the preparation of a protective plan that is designed before the event has occurred. A client who survived an explosion was found with moist blebs and blisters on the skin with cherry red color. The client is having severe pain. After assessing, the nurse finds the skin is hypersensitive to touch or air. Which condition can be suspected in the client? 1 First-degree burn 2 Second-degree burn 3 Third-degree burn 4 Fourth-degree burn Characteristic findings of a second-degree burn are moist blebs and blisters in the skin. The skin appears as a mottled white, pink to cherry-red colour. The skin is also hypersensitive to touch or air and there may be moderate to severe pain. The assessments of first-degree burn are redness, pain, moderate to severe tenderness, and minimal edema. In third and fourth-degree burns there is a dry, leathery eschar on the skin. The skin appears as waxy white, dark brown, or charred. The skin becomes insensitive to touch. Several nurses from Pennsylvania who are members of a disaster medical assistance team (DMAT) are being sent to South Carolina to provide healthcare to hurricane victims. What action is required prior to these nurses providing care? 1 Applying for licensure in South Carolina 2 Showing Pennsylvania state nursing license 3 None since the nurses are acting as federal employees 4 Calling the National Council for the State Boards of Nursing and request licensure Because licensed healthcare providers such as nurses act as federal employees when they are deployed, their professional licenses are recognized and valid in all states. There is no need for the nurses to apply for licensure in South Carolina, show Pennsylvania license, or call the National Council for the State Board of Nursing to request licensure. The first responders rescue and bring submersion victims of a natural disaster to the emergency department. Which is an appropriate intervention for treating clients with submersion injuries? 1 Refrain from inserting urinary catheter 2 Immediately provide intubation and mechanical ventilation 3 Stabilize or immobilize cervical spine in all near-drowning victims 4 Immediately apply heating devices to keep the client's body temperature elevated The nurse should assume cervical spine injury in all near-drowning victims and stabilize or immobilize the victim's cervical spine. The nurse should insert a gastric tube and urinary catheter as an initial intervention for a submersion victim. The nurse should anticipate the need for intubation and mechanical ventilation if the airway is compromised, such as if the gag reflex is absent; intubation and mechanical ventilation need not be provided immediately to all clients if not required. While the client should be warmed if needed, the nurse needs to monitor the client's temperature and maintain normothermia. The nurse is helping a triage officer evaluate the victims of a large scale disaster. Which client does the nurse anticipate will be given a black tag? 1 A client with a contusion 2 A client with airway obstruction 3 A client with open fractures and a distal pulse 4 A client with extensive full-thickness body burns A black-tagged client in a mass casualty triage situation is a critically ill client who is expected and allowed to die or is not treated until others have received care. This is done so that limited resources can be dedicated to saving the most lives, and not expended to save one life at the possible expense of many others. The client with extensive full-thickness body burns falls in this category. A client with a contusion would [Show More]

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