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Nursing Emergencies II
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True or False? A patient with carbon monoxide poisoning will have a normal oxygen saturation.
True
Which of the following would be included in a hospital disaster plan? Discharging all critical patients Cancelling any on call staff Reassigning nursing units
Reassigning nursing units for specific types of trauma patients
Which government organization evaluates the risk that an organism might be used as bioterrorism?
CDC (Centers for Disease Control and Prevention)
What type of medication is used to treat cutaneous anthrax?
antibiotics
What is the potential bioterrorism agent that was declared eradicated in 1980?
smallpox
Which potential bioterrorism agent causes descending paralysis, no fever, and clear thought process?
botulism
True or False? During a disaster, patient that are identified as critically injured and unlikely to survive receive treatment first.
False. Treat patients that are seriously injured with a good chance of survival first.
Flooding is occurring in a community and requires the response of multiple agencies. Is this considered an internal disaster or external disaster?
external disaster
The nurse is administering pain medication to a trauma victim. The order is for 4 mg of morphine IM. The supply of morphine is labeled 2 mg/ml. How many milliliters should the nurse draw up for administration?
2 ml
The patient admitted with signs/symptoms of depression should be assess for
suicidal ideation
True or False? Near drowning in cold water increases the chance of survival.
True
If the larynx is open and fills with water, what type of drowning is this called?
wet drowning
The nurse is caring for a snake bite victim. How should the bitten extremity be positioned (in comparison to the heart)?
below the level of the heart
The patient has been bitten by a snake. How should the wound be cleaned?
soap and water
The nurse is caring for a patient with a bee sting injury and locates the stinger in the patient's arm. How should the nurse remove the stinger?
Gently scrape with a card or fingernail. Do NOT squeeze the stinger.
The nurse provides first aid to victims that are suffering from inhalation of chemical fumes. When the nurse arrives, what should the first action be?
move the victims to fresh air
The nurse suspects the unconscious patient has taken an overdose of narcotic. What drug should the nurse administer?
naloxone (Narcan)
What is the number to call poison control?
1-800-222-1222
The hyperthermia patient has a temperature of 104 degrees F, dry skin, and confusion. What type of hyperthermia is this?
Heatstroke (late hyperthermia)
The nurse is caring for a hyperthermia patient that is alert with a headache and increased heart rate. Fluid replacement should be given by what route?
orally
Does the patient with heat exhaustion (early hyperthermia) sweat?
Yes. The skin will be cool and clammy.
The patient has been exercising outside in the heat for several hours. He is complaining of painful muscle spasms. The spasms are caused by
dehydration (loss of water and salt)
The patient has frostbite on the feet. The feet should be positioned ________ the level of the heart. (above, below, at)
at
The nurse has increased the room temperature and covered the patient with heated blankets. Is this active or passive rewarming?
passive rewarming
The hypothermia patient must be rewarmed and will not be declared dead until the body temperature is at least ________.
90 degrees F
The hypothermia victim has no obtainable vital signs, flaccid muscles, and fixed dilated pupils. This patient is classified as what level of hypothermia?
profound hypothermia (less than 80 degrees F)
In mild hypothermia, the patient is alert and shivering. Heart rate, respiratory rate, and cardiac output decrease. What happens to the blood glucose level?
hypoglycema (decrease blood glucose)
The physician orders silver sulfadiazine for a partial thickness burn. What allergy should the nurse assess for prior to application?
sulfa drugs
The burn victim has soot on the face and singed nasal hairs. The nurse is aware that this patient is at high risk for injury to what body system?
respiratory system
For burn victims, we add an F to the primary survey. ABCDE+F. What does the F stand for?
Fluid resuscitation
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