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NRSG 3420: EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
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NRSG 3420: EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE ER MCI DISASTER ER MCI DISASTER The nurse has been notified that the ED is expecting terrorist attack victims and that level D personal protective equipment (PPE) is appropriate. What does level D PPE includ...

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  • October 12, 2024
  • 81
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NRSG 3420: EXAM 3 QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED LATEST UPDATE


ER MCI DISASTER

ER MCI DISASTER

The nurse has been notified that the ED is expecting terrorist attack victims and

that level D personal protective equipment (PPE) is appropriate. What does level

D PPE include?




A chemical-resistant coverall with splash hood, chemical-resistant gloves, and

boots



A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-

tight, chemical-resistant suit with chemical-resistant gloves and boots.



The SCBA and a chemical-resistant suit, but the suit is not vapor tight



The nurse's typical work uniform

Correct response:

The nurse's typical work uniform

,Explanation:

The typical work uniform is appropriate for Level D protection



Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical

Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass

Casualty, and Disaster Nursing, Personal Protective Equipment, p. 2201.

There has been a radiation-based terrorist attack and a client is experiencing

vomiting, diarrhea, and shock after the attack. How will the client's likelihood of

survival be characterized?




Extended



Improbable



Possible



Probable

Correct response:

Improbable



Explanation:

,Clients who experience vomiting, diarrhea, and shock after radiation exposure are

categorized as improbable survival, because they are demonstrating symptoms of

exposure levels of more than 800 rads of total body-penetrating irradiation.



Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical

Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass

Casualty, and Disaster Nursing, Survival, p. 2211.

A nurse has been called for duty during a response to a natural disaster. In this

context of care, the nurse should expect to do which of the following?




Practice outside of her normal area of clinical expertise.



Prioritize psychosocial needs over physiologic needs.



Prioritize the interests of older adults over younger clients.



Perform interventions that are not based on assessment data.

Correct response:

Practice outside of her normal area of clinical expertise.



Explanation:

, During a disaster, nurses may be asked to perform duties outside their areas of

expertise and may take on responsibilities normally held by physicians or advanced

practice nurses.



Reference:

Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical

Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass

Casualty, and Disaster Nursing, The Nurse's Role in Disaster Response Plans, p. 2198.

A client is brought to the ER in an unconscious state. The health care provider

notes that the client is in need of emergency surgery. No family members are

present, and the client does not have identification. What action by the nurse is

most important regarding consent for treatment?




Clearly document LOC and health status on the client's chart.



Obtain a court order to treat the client.



Ask the social worker to come and sign the consent.



Contact the police to obtain the client's identity.

Correct response:

Clearly document LOC and health status on the client's chart.

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