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Burns - HESI University of San FranciscoNURS 649Burns
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University of San FranciscoNURS 649 BurnsBurns - HESI
Page 1
1. Safety and Infection Control
After arriving on the scene and evaluating the situation, paramedics immediately
notify the county hospital emergency department of the situation. The
emergency department personnel initiate the emergency operations plan (EOP),
and a Level I disaster is declared.
2. 1.ID: 6975253540
Which action is included when a Level I disaster is declared?
A. Radio stations interrupt broadcasting to declare a state of
emergency.
This measure is instituted when there is a potential county-wide disaster,
such as severe weather or bioterrorism.
B. A statewide emergency response team is deployed to the
accident site.
This action is taken during a Level I disaster when local and regional
assets are overwhelmed and statewide or federal assistance is required.
C. Hospital staff from the county hospital report to the disaster
site for triage.
Hospital staff do not report to the disaster site.
D. All local hospitals prepare to receive casualties. Correct
Classification as a Level I disaster indicates that local emergency
response personnel and organizations can contain and effectively
manage the disaster and its aftermath.
Correct
Awarded 1.0 points out of 1.0 possible points.
3. The flames from the bus and truck are extinguished by members of the
fire department who have arrived at the scene. Parents of some of the band
members were following the bus to the football game. While the emergency
personnel are trying to care for students, the parents are asking questions
and attempting to get to the bus. Some parents call the local emergency
rooms in an attempt to learn where their children will be transferred.
4. 2.ID: 6975253536
Which action should be implemented to help these family members?
A. Direct all family members to the local emergency rooms
immediately.
Family members should not be in the triage or treatment areas.
,University of San FranciscoNURS 649 Burns
B. Designate specific family areas that are staffed with
counselors. Correct
Family and friends converging on the scene and at local hospitals should
be cared for in designated areas by competent personnel to help
decrease anxiety and provide correct information.
C. Contact the American Red Cross to begin notifying immediate
family members.
The American Red Cross helps persons affected by disaster with food,
water, shelter, and other necessities. Hospital personnel will notify
immediate family.
D. Refer all family members to the police, who will provide
essential information.
The police are needed to help at the scene with traffic control and client
transport, not to address family needs.
Correct
Awarded 1.0 points out of 1.0 possible points.
Page 2
1. Safety and Infection Control
Paramedics are triaging clients at the accident site.
2. 3.ID: 6975253580
Which action is implemented first by the triage personnel?
A. Place a disaster tag securely on each victim. Correct
Victim tracking is a critical component in casualty management. Disaster
tags are color-coded and numbered to indicate triage priority. They
include the client's name, address, and age, as well as a description and
location of the client's injuries.
B. Communicate with the county emergency room.
Communication is a key component of disaster management, but it is
not the initial priority for triage personnel.
C. Determine which ambulance will transport which client.
Arranging transportation for clients is important, but it is not the initial
priority for triage personnel.
D. Identify a site for the casualties to be taken until identified.
This is an important intervention for addressing the deaths, but it is not
the initial priority for triage personnel.
Correct
Awarded 1.0 points out of 1.0 possible points.
3. 4.ID: 6975253578
Which of the following clients would be given a red tag? (Select all that apply.)
, University of San FranciscoNURS 649 Burns
A. A client whose vital signs are as follows: respirations 22, pulse
120, Blood pressure 85/52. Correct
This client is going into shock and should be seen immediately.
B. A client with a pulsating femur wound. Correct
This client has an arterial bleed and can go into shock and therefore
should be seen immediately.
C. A client with full-thickness burns over 50% of the body. Correct
This client should be attended to immediately.
D. A client with a crushing head injury
This client would probably not survive under the best of circumstances.
E. A client with a crushing chest injury and an open
pneumothorax.
This client would probably not survive under the best of circumstances.
Correct
Awarded 1.0 points out of 1.0 possible points.
4. A young man is brought to the triage area. He is alert and screaming in
pain. He appears to have deep partial-thickness and full-thickness burns on
his lower abdomen and on both of his anterior and posterior lower legs. He
states that his name is David Harper and that he is 14 years old. A disaster
tag is placed on his left wrist. A large bore IV is started in his right
antecubital area, and a sterile drape is placed over the lower part of his
body.
5. 5.ID: 6975253576
Into which triage category should David be placed?
A. Priority 1, Color Red. Correct
A client with deep partial-thickness and full-thickness burns on 15% to 40% of his total body su
Treatment cannot be delayed.
B. Priority 2, Color Yellow.
This is a delayed category where injuries are significant and require
medical care, but treatment can be delayed 30 to 60 minutes. David
does not meet the guidelines for this category.
C. Priority 3, Color Green.
This is a minimal category where injuries are minor, and treatment can
be delayed several hours. David does not meet the guidelines for this
category.
D. Priority 4, Color Black.
This is an expectant category where injuries are extensive and chances
of survival are unlikely, even with definitive care. No treatment is
given. David does not meet the guidelines for this category.
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