Chapter 13. Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response Questions

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?
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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?
Application of silver sulfadiazine cream
The physician orders haloperidol (Haldol) 2 mg intramuscularly (IM) for a patient who is experiencing a psychiatric crisis. Haldol 5 mg/mL is available. How many milliliters should the nurse give?
0.4 mL
The nurse is preparing teaching for the home treatment of ingested poisons. Which medication is no
longer recommended for use at home to induce vomiting for certain ingested poisons?
Syrup of ipecac
A patient with a head injury is diagnosed with increased intracranial pressure. In which position should the nurse maintain the patients head to assist in reducing intracranial pressure?
midline
A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?
Esophageal burns
When using the Glasgow Coma Scale for a patient involved in a motor vehicle crash, the patient opens the eyes when spoken to and points to the location of pain but is confused in conversation. What score should the nurse assign to this patient?
12
The nurse is caring for a patient who was bitten by a snake. Which action should the nurse take to decrease the effects of the venom?
Keep the patient calm.
The nurse is preparing to care for a client with a poisonous snake wound. Which method should the
nurse use to cleanse the site?
Wash with soap and water.
The nurse assists with the provision of an educational program on the symptoms of smallpox. Which response indicates that the participants understand the location that the rash first appears?
Legs and feet
The results of a primary survey reveal that a victim of a motor vehicle crash has an open airway, is breathing, and is conscious but bleeding heavily from severe leg injuries. For which complication should the nurse plan care for this client?
hypovolemic shock
The nurse is planning care for a patient with a mental health disorder. Which nursing diagnosis should the nurse select if the patient is demonstrating manic behavior?Risk for InjuryThe nurse is evaluating care provided to a patient recovering from a psychotic episode. Which patient statement should the nurse recognize as an indication of reduced anxiety?I feel calm.The nurse is caring for a patient experiencing acute psychosis. What should the nurse realize as being the purpose of medication for this patient?Reduce psychosisThe nurse is planning care for a patient who experienced a near-drowning. What should the nurse identify as the goal of care for this patient?Maintain ventilationThe nurse ensures that a trauma patient has an effective airway. On what should the nurse focus after the airway has been established for this patient?BreathingA patient who sustained multiple injuries in a motor vehicle crash is brought to the emergency department. After the primary survey, what should be the nurses next action?Complete out a rapid head-to-toe assessment.A patient is brought to the emergency department after a motor vehicle crash. Which symptom assessed during data collection should the nurse report promptly?WheezingA patient who has fallen has superficial abrasions and an abdomen that is distended, firm, and tender when touched. Which complication should the nurse consider that this patient is experiencing?Internal abdominal bleedingA patient seeking treatment after being in a house fire has thermal burns to the neck and shoulders and singed nasal hairs. Which action should the nurse take first?Monitor respirations.The nurse in the emergency department is triaging victims of a building collapse. Which victim should the nurse determine is a priority for care?A severely injured patient with full potential for recoveryA patient who works in a non-air conditioned manufacturing plant is experiencing weakness and a headache. The patients skin is cool and clammy, temperature is slightly elevated, and pulse rate is rapid. For which health problem should the nurse plan care for this patient?Heat exhaustionA homeless person is brought to the hospital for weakness, feeling faint, and having a headache. The patients skin is cool and clammy and vital signs are temperature 99.9F, pulse 100 bpm, respirations 18/minute, blood pressure 108/60 mm Hg. What action should the nurse take?Provide oral fluids.The nurse is caring for a patient who has sustained an abdominal injury in a motor vehicle crash. Which symptom should be the most concerning to the nurse?Blood pressure 104/52 mm HgThe nurse is providing care to a college student having a psychiatric emergency and related suicide attempt. Which action should the nurse take first?Determine if alcohol or illicit drugs have been used recently.The nurse determines that a patient has a normal capillary refill time. What was this patients refill time?3 secondsA patient with severe hypothermia is comatose with fixed dilated pupils, flaccid muscles, and ventricular fibrillation. Which body temperature should the nurse expect to assess in this patient?80.6 FThe nurse is reviewing a 40-year-old patients immunization schedule. At which age should the patient have received the most recent tetanus booster vaccination?35 yearsWhile assessing a victim of a motor vehicle crash, the nurse notes that the patients trachea is shifted towards the left. What does this finding indicate to the nurse?Right lung tension pneumothoraxA patient is admitted for mild hypothermia. Which manifestations should the nurse expect when assessing this patient?Depleted glucose stores Decreased respiratory rate Decreased muscular activity Decreased heart rate and cardiac output