EAQ Safety
While triaging clients after an earthquake that has caused mass casualties, the nurse notes that
a client with a massive head injury does not respond to stimulation and cannot breathe
independently. Which color tag would be given to the client?
Red tag
Black tag
Green tag
Yellow tag - ANS-Black tag
In an incident that has caused mass casualties, a military form of triage is performed to provide
the best care for the most people. In such instances, clients who may otherwise have been
resuscitated are often classified as expectant. Therefore a client with a massive head injury who
is unable to respond to any kind of stimulus and is unable to breathe independently would be
classified with a black tag. Clients needing emergency medical care are identified with red tags.
Green tags are given to the clients who sustained minimal injuries in the disaster. Yellow tags
are given to clients whose treatment can be delayed for a short time.
A client with terminal bone cancer is to receive 2 mg of hydromorphone intravenously (IV) every
4 hours as needed for severe breakthrough pain. The vial contains 10 mg/mL. When the client
reports severe pain, how much solution of hydromorphone should the nurse administer? -
ANS-mL=2mgx(mL/10mg)=0.2mL
An 18-year-old woman is brought to the emergency department by her two roommates after
being found unconscious in the bathroom. Laboratory tests are ordered. The nurse reviewing
the findings notes that the urinalysis is positive for flunitrazepam. The nurse knows that
flunitrazepam is often used for what?
As a date rape drug
To control symptoms of psychosis
To control symptoms of bipolar mania
To treat hangover symptoms after excessive alcohol consumption - ANS-As a date rape drug
Flunitrazepam, illegal in the United States, has been used in date rapes; the victim is attacked
after consuming a drink spiked with the drug. Flunitrazepam is not used to treat psychosis,
mania, or hangover symptoms.
Which parameter monitoring should be the nurse's priority while caring for a client with
hypothyroidism?
Pulse rate
Blood pressure
Respiratory rate
Body temperature - ANS-Respiratory rate
, A 20-year-old woman comes into the clinic after missing her menstrual period 2 weeks ago and
states that she suspects that she is pregnant. As the nurse is reviewing her medications, the
client says that she is taking isotretinoin. What should the nurse consider regarding isotretinoin?
It is used to suppress hunger in individuals trying to lose weight, so the client should stop taking
the medication.
It is often used to treat migraines associated with hormonal changes and should be safe for
continued use as needed.
It is teratogenic and associated with major fetal malformations, so the client should stop the
medication immediately.
It is an atypical antipsychotic, and the woman needs to make an immediate appointment with
her mental healthcare provider to discuss alternative medications. - ANS-It is teratogenic and
associated with major fetal malformations, so the client should stop the medication immediately.
An underweight client has autoimmune hemolytic anemia that has been unresponsive to
corticosteroids, and a splenectomy is scheduled. For what complication should the nurse
assess the client in the immediate postoperative period?
Dehiscence
Hemorrhage
Wound infection
Abscess formation - ANS-Hemorrhage
When changing the soiled bed linens of a client with a wound that is draining seropurulent
material, what personal protective equipment (PPE) is most essential for the nurse to wear?
Mask
Clean gloves
Sterile gloves
Shoe covers - ANS-Clean gloves
Clean gloves protect the hands and wrists from microorganisms in the linens. Clean gloves are
the first line of defense in preventing the spread of infection. Mask, sterile gloves, and shoe
covers are not required for this situation.
While caring for victims of a hurricane, a nurse is teaching hygiene practices and symptoms of
various infections. Which phase of disaster management is the nurse executing?
Mitigation
Response
Evaluation
Preparedness - ANS-Mitigation
While triaging clients after an earthquake that has caused mass casualties, the nurse notes that
a client with a massive head injury does not respond to stimulation and cannot breathe
independently. Which color tag would be given to the client?
Red tag
Black tag
Green tag
Yellow tag - ANS-Black tag
In an incident that has caused mass casualties, a military form of triage is performed to provide
the best care for the most people. In such instances, clients who may otherwise have been
resuscitated are often classified as expectant. Therefore a client with a massive head injury who
is unable to respond to any kind of stimulus and is unable to breathe independently would be
classified with a black tag. Clients needing emergency medical care are identified with red tags.
Green tags are given to the clients who sustained minimal injuries in the disaster. Yellow tags
are given to clients whose treatment can be delayed for a short time.
A client with terminal bone cancer is to receive 2 mg of hydromorphone intravenously (IV) every
4 hours as needed for severe breakthrough pain. The vial contains 10 mg/mL. When the client
reports severe pain, how much solution of hydromorphone should the nurse administer? -
ANS-mL=2mgx(mL/10mg)=0.2mL
An 18-year-old woman is brought to the emergency department by her two roommates after
being found unconscious in the bathroom. Laboratory tests are ordered. The nurse reviewing
the findings notes that the urinalysis is positive for flunitrazepam. The nurse knows that
flunitrazepam is often used for what?
As a date rape drug
To control symptoms of psychosis
To control symptoms of bipolar mania
To treat hangover symptoms after excessive alcohol consumption - ANS-As a date rape drug
Flunitrazepam, illegal in the United States, has been used in date rapes; the victim is attacked
after consuming a drink spiked with the drug. Flunitrazepam is not used to treat psychosis,
mania, or hangover symptoms.
Which parameter monitoring should be the nurse's priority while caring for a client with
hypothyroidism?
Pulse rate
Blood pressure
Respiratory rate
Body temperature - ANS-Respiratory rate
, A 20-year-old woman comes into the clinic after missing her menstrual period 2 weeks ago and
states that she suspects that she is pregnant. As the nurse is reviewing her medications, the
client says that she is taking isotretinoin. What should the nurse consider regarding isotretinoin?
It is used to suppress hunger in individuals trying to lose weight, so the client should stop taking
the medication.
It is often used to treat migraines associated with hormonal changes and should be safe for
continued use as needed.
It is teratogenic and associated with major fetal malformations, so the client should stop the
medication immediately.
It is an atypical antipsychotic, and the woman needs to make an immediate appointment with
her mental healthcare provider to discuss alternative medications. - ANS-It is teratogenic and
associated with major fetal malformations, so the client should stop the medication immediately.
An underweight client has autoimmune hemolytic anemia that has been unresponsive to
corticosteroids, and a splenectomy is scheduled. For what complication should the nurse
assess the client in the immediate postoperative period?
Dehiscence
Hemorrhage
Wound infection
Abscess formation - ANS-Hemorrhage
When changing the soiled bed linens of a client with a wound that is draining seropurulent
material, what personal protective equipment (PPE) is most essential for the nurse to wear?
Mask
Clean gloves
Sterile gloves
Shoe covers - ANS-Clean gloves
Clean gloves protect the hands and wrists from microorganisms in the linens. Clean gloves are
the first line of defense in preventing the spread of infection. Mask, sterile gloves, and shoe
covers are not required for this situation.
While caring for victims of a hurricane, a nurse is teaching hygiene practices and symptoms of
various infections. Which phase of disaster management is the nurse executing?
Mitigation
Response
Evaluation
Preparedness - ANS-Mitigation
