Emergency and Disaster Nursing mes surg.While performing triage in the ED, the nurse determines which patient should be seen first? A. A patient with
... [Show More] burns on the face and chest; BP 120/80 mm Hg, HR 92, RR 24. B. A patient with a deformed leg indicating a fractured tibia; BP 110/60 mm Hg, HR 86, RR 18. C. A patient with type 1 diabetes in ketoacidosis; BP 100/60 mm Hg, HR 100 beats/min, RR 32. D. A patient with a respiratory infection with a cough productive of greenish sputum; BP 128/86 mm Hg, HR 88, RR 26.
C. A patient with type 1 diabetes in ketoacidosis; BP 100/60 mm Hg, HR 100 beats/min, RR 32.
Assessment of a male patient during the primary survey indicates delayed capillary refill of the extremities. He cannot explain the events before admission to the ED. Which action should the nurse take immediately? A. Apply leads to the patient's chest to initiate ECG monitoring. B. Insert one or two large-bore IV catheters to start IV fluid resuscitation. C. Continue the primary survey to complete a brief neurologic examination. D. Initiate pulse oximetry by placing a monitoring device on the patient's index finger.
D. Initiate pulse oximetry by placing a monitoring device on the patient's index finger.
Several patients are admitted to the ED after exposure to an aerosolized agent that is believed to be a hemorrhagic fever virus used as a bioterrorism agent. Which statement by the nurse is most appropriate? A. "Treatment for this viral disease is mostly supportive." B. "Ciprofloxacin (Cipro) is the best treatment for this disease." C. "This disease cannot be spread by contact with body fluids." D."A vaccine is available to prevent transmission of this disease."
A. "Treatment for this viral disease is mostly supportive."
A client is admitted to the emergency department with reports of syncope, weakness, and dizziness. Upon further assessment and questioning the nurse suspects the client is a victim of human trafficking. Which of the following assessment findings may suggest that a client is the victim of human trafficking? (Select all that apply) A. The client is withdrawn and nervous. B. Burns are present without a clear explanation of what happened. C. The client appears dehydrated with a very low blood pressure and pulse rate. D. The client is wearing a heavy sweater and pants in the middle of summer.
A, B, C, D [Show Less]