NP235 Unit 7 Emergency Preparedness Key Points
care for the victims first that have the best chance of survival - ANS-1. What is the priority when
triaging patients during a disaster?
Those exposed to toxic chemicals should be decontaminated in the field before transport to a
medical facility.
Decontamination is usually done with running water and scrubbing. Most emergency
departments have an isolated decontamination area in which the water from the shower area
goes into a special holding tank.
If multiple victims need decontamination, a portable tent may be placed outside of the facility
remove clothing, hose them down and scrub them - ANS-What is the process when treating a
patient with a chemical exposure?
Offer help on a one-to-one basis. Several people trying to simultaneously talk to or subdue the
patient may add to fear and disorientation.
Establish eye contact.
Use the person's name frequently.
Explain who you are and what you are trying to do.
Express genuine concern about the situation.
Use a soft voice.
Make sure the patient can hear and understand what is being said.
Observe for signs of drug or alcohol use.
calm voice, remain calm, good eye contact - ANS-How should a nurse respond to an aggressive
patient?
If large volumes of fluid are required for fluid resuscitation, warming of the fluids can help
prevent hypothermia - ANS-What is the purpose of infusing warm fluids to patients with
hypovolemic shock?
The nurse must always check that a consent form has been signed before giving the
preoperative medication. - ANS-When is the best time to obtain a surgical consent?
reinforce dischage instructions - ANS-What is the role of the LPN during a patient discharge?
, increased respiratory rate,
cold, clammy skin,
decreased blood pressure, - ANS-What are signs and symptoms of Hypovolemic shock?
20%
At rest, no signs or symptoms; slight postural hypotension when standing; tachycardia with
exercise
30%
Blood pressure and pulse normal when supine; postural hypotension and tachycardia with
exercise
40%
Below-normal blood pressure, central venous pressure, and cardiac output at rest; rapid,
thready pulse and cold, clammy skin
50%
Shock and potential death - ANS-What are the stages of hypovolemic shock?
assumes responsibility for launching the emergency preparedness plan. This person's role as
commander is to view the entire situation, bring in needed human and supply resources, and
facilitate the flow of patients through the system. - ANS-What is the main role of the Incident
Commander?
after an incident, deploy critical incident stress debriefing team to the area - ANS-What is the
BEST response of hospital leadership after a major incident happens?
Plague can be transmitted from person to person, and respiratory droplet precautions along with
Standard Precautions are necessary until 48 hours after treatment has been initiated. -
ANS-What precautions are taken when caring for a patient with the plague?
If a child and caregiver make frequent trips to a clinic or emergency department (ED) for
unexplained or questionable injuries, abuse could be occurring. Suspicion increases when the
mechanism of injury reported by the caregiver (or child) does not match the injury pattern. The
law requires that child abuse or suspicion of child abuse must be reported. - ANS-How does a
nurse recognize child abuse?
QAIP-have the greatest risk, have the greatest monetary costs, has the greatest volume, are the
most problem prone, have the greater human costs - ANS-What is the Quality Improvement
Committee?
Cardiogenic shock ccurs when the heart is incapable of pumping enough blood to meet the
needs of the body because of a primary cardiac injury or dysfunction.
Main cause is MI - ANS-What is the main cause of Cardiogenic shock?
confusion,
restlessness,
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