Deck 13: Nursing Care of Patients With Emergent Conditions and Disasterbioterrorism Response

Question 1

The nurse is caring for a group of patients. Which patient should the nurse see first?

A)A patient who received epinephrine for anaphylactic reaction and has wheezing
B)A patient in a motor vehicle accident who has been cleared of cervical injury
C)A patient who was bit by a snake and received antivenom yesterday
D)A patient who stepped on a nail and received a tetanus booster

Answer 1

A patient who received epinephrine for anaphylactic reaction and has wheezing

Question 2

Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives to the emergency department. ___

A) Exposure ___
B) Breathing ___
C) Disability ___
D) Airway ___
E) Circulation

Answer 2

D,B,E,C,A

Question 3

The health care provider (HCP) tells the nurse that a patient has blood leaking into the intrapleural space and has caused collapse of the lung. The nurse suspects which diagnosis?

A)Cardiac tamponade
B)Pneumothorax
C)Myocardial contusion
D)Hemothorax

Answer 3

Hemothorax

Question 4

The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a head injury. The patient opens eyes to pain, best verbal response is incomprehensible sounds, and best motor response is withdrawal from pain. What is the patient's total GCS score? 1.15

A)11
B)8
C)3

Question 5

The nurse is receiving a victim of a traumatic amputation in the emergency department. What should the nurse do with the amputated limb? (Select all that apply.)

A)Place on ice.
B)Rinse with saline.
C)Place in ice water.
D)Wrap in sterile gauze.
E)Place in a sealed plastic bag.

Question 6

The nurse is caring for a patient with hypovolemic shock with a possible cause of internal hemorrhage. Which order should the nurse prepare to implement first?

A)Administer an antibiotic.
B)Start a large bore IV.
C)Administer blood products.
D)Administer IV fluids.

Question 7

The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?

A)Application of wet dressings
B)Use of clean dressing technique
C)Application of moisturizing lotion
D)Application of silver sulfadiazine cream

Question 8

The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result would be of most concern to the nurse?

A)Calcium 9.1 mg/dL
B)Sodium 128 mEq/L
C)Glucose 72 mg/dL
D)Potassium 4.0 mEq/L

Question 9

The nurse is preparing to administer 1 L of D5 normal saline to run over 4 hours with a drip set of 15 gtt/mL. Calculate the drop rate for the IV fluid. Round to the nearest whole number. Enter the numeral only.

Question 10

The nurse is caring for a patient with frostbite to the foot. Which intervention should the nurse implement?

A)Vigorously rub the affected area to promote circulation.
B)Apply a tight, wet, and sterile dressing to the affected area.
C)Encourage frequent ambulation.
D)Elevate the foot at or above heart level.

Question 11

The nurse is caring for a patient who experienced a near-drowning. Which factors lead to a better outcome? (Select all that apply.)

A)Patient was submerged for over an hour.
B)The water was clean.
C)The temperature was lukewarm.
D)The patient was an older adult.
E)The patient has had a family member drown.

Question 12

The nurse is preparing to administer morphine 6 mg IV to a patient with a gunshot wound. The available dose is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Question 13

The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse should anticipate the patient's inability to do what?

A)Tighten anus
B)Flex foot and extend toes
C)Extend and flex legs
D)Extend and flex arms

Question 14

The nurse is caring for a patient diagnosed with botulism. Which interventions should the nurse plan to implement? (Select all that apply.)

A)Assess gag reflex.
B)Monitor oxygen saturation.
C)Administer blood products.
D)Infuse parenteral nutrition as prescribed.
E)Prepare the patient for a lumbar puncture.

Question 15

Which of the following is a cause of an open penetrating injury?

A)A knife
B)A bullet
C)Fragments from an explosion
D)A baseball bat

Question 16

A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?

A)Coma
B)Esophageal burns
C)Chemical pneumonia
D)Aspiration pneumonia

Question 17

The nurse is working at a sporting event when a football player is injured. What action by the nurse requires correction?

A)Assist the patient in sitting up slowly.
B)Ask the patient if he is having pain anywhere.
C)Assess vital signs.
D)Determine if the patient is experiencing difficulty breathing.

Question 18

A patient tells the nurse she stepped on a nail when working on the yard. Which question is most important for the nurse to ask?

A)"Was the nail an old nail or new nail?"
B)"How long was the nail?"
C)"When was your last tetanus shot?"
D)"Did the nail penetrate the skin?"

Question 19

The nurse in an emergency department is helping triage victims of an explosion. Rank, in order from 1 to 5, the following patients according to their need for priority treatment according to disaster response protocols and best chance of survival.

A) _____ A 15-year-old with a laceration to the foot that is bleeding slightly
B) _____ A 36-year-old who has no pulse or respirations and has an open head injury
C) _____ A 70-year-old with shortness of breath but no detectable cardiac arrhythmias
D) _____ A 5-year-old with a suspected fracture of the humerus
E) _____ A 58-year-old woman with a distended abdomen who reports severe abdominal pain

Question 20

The nurse is teaching a group of oilfield workers about care for a snake bite. Which statement indicates an understanding of the teaching?

A)"I will elevate the affected extremity above heart level."
B)"I should avoid putting a dressing over the area."
C)"I need to apply ice to the affected area."
D)"I should clean the area with soap and water."