ER/Shock/ Disaster ATI

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication? Constipation Bleeding Blurred vision Insomnia

bleeding

A nurse is caring for a client who was exposed to anthrax. Which of the following antibiotics should the nurse plan to administer? Doxycycline Fluconazole Tobramycin Vancomycin

doxycycline

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first? Dobutamine Methylprednisolone Furosemide Epinephrine

epinephrine

A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply.) Sarin Smallpox Anthrax Hydrogen cyanide Botulism

smallpox anthrax botulism

A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply). Substance use disorder Age greater than 45 years old Female gender Currently married Schizophrenia

substance use disorder age greater than 45 years old schizophrenia

A nurse is teaching staff which factors to include in an abuse assessment of a client. Which of the following factors should the nurse include in the teaching? (Select all that apply.) Suicide risk Socioeconomic status Coping patterns Support systems Alcohol use

suicide risk coping patterns support systems alcohol use

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication? tinnitus clay colored stools nystagmus respiratory depression

tinnitus

A nurse is developing a program about strategies to prevent foodborne illnesses for a community group. The nurse should plan to include which of the following recommendations? (Select all that apply). Avoid unpasteurized dairy products. Keep cold food temperatures below 4.4° C (40° F). Reheat leftovers before eating. Wash raw vegetables thoroughly in clean water. Keep cooked foods at 48.9° C (120° F).

Avoid unpasteurized dairy products. Keep cold food temperatures below 4.4° C (40° F). Reheat leftovers before eating. Wash raw vegetables thoroughly in clean water.

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect? Mottled skin Blood pressure 115/68 mmHg Heart rate 160/min Metabolic acidosis

BP 115/68 mmHg

A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.) Botulism can produce paralysis within 12 to 72 hr following exposure. Notify the Centers for Disease Control and Prevention (CDC) when more than three cases are confirmed. Botulism is acquired through direct contact with an infected person. Vomiting and diarrhea are expected findings following exposure. Botulism is a toxin found in castor beans.

Botulism can produce paralysis within 12 to 72 hr following exposure. Vomiting and diarrhea are expected findings following exposure.

A nurse assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion? Confusion Blood pressure 84/50 mm Hg Anuria Petechiae

Confusion

A nurse in the emergency department is creating a plan of care for a client experiencing alcohol intoxication. Which of the following interventions should the nurse plan to include? (Select all that apply). Contact the laboratory to obtain a blood sample. Prepare the client for a CT scan. Check the client's pupil reactivity. Obtain a urine specimen. Perform a developmental screening test.

Contact the laboratory to obtain a blood sample. Prepare the client for a CT scan. Check the client's pupil reactivity. Obtain a urine specimen.

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make? "DIC is controllable with lifelong heparin usage." "DIC is characterized by an elevated platelet count." "DIC is caused by abnormal coagulation involving fibrinogen." "DIC is a genetic disorder involving a vitamin K deficiency."

DIC is caused by abnormal coagulation involving fibrinogen

A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.) Seizures Illusions Tremors Polyphagia Nystagmus

Seizures Illusions Tremors

A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply.) Smallpox is transmitted person to person." "Infection is characterized by severe respiratory distress." "Smallpox vaccination ensures lifelong immunity." "Naturally occurring smallpox has been eradicated from the world." "Smallpox is often confused with varicella."

Smallpox is transmitted person to person." "Naturally occurring smallpox has been eradicated from the world." "Smallpox is often confused with varicella."

An occupational health nurse is instructing workers at an industrial facility in emergency procedures in the event of a traumatic amputation. Which of the following guidelines should the nurse include for emergency care? (Select all that apply.) Wrap the part in dry sterile gauze. Place the severed end of the part into crushed ice. Put the severed part in a dry, waterproof plastic bag. Elevate the extremity. Prevent contact of the severed part with water.

Wrap the part in dry sterile gauze. Put the severed part in a dry, waterproof plastic bag. Elevate the extremity. Prevent contact of the severed part with water.

A nurse in the emergency department is preparing to care for a client who received multiple injuries during a fight. The nurse should plan to base his primary survey on which of the following? (Select all that apply.) airway cervical spine disability exposure urinary output

airway cervical spine disability exposure

A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.) Three quarts of water per person Clean clothing Personal identification Matches Prescription medications

clean clothing personal identification matches prescription medications

A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) Hypotension Polyuria Hyperthermia Absence of bowel sounds Weakened gag reflex

hypotension absence of bowel sounds weakened gag reflex

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock? * Decrease in the respiratory rate from 20 to 16/min. *Decrease in the urinary output from 50 mL to 30 mL per hour. *Increase in the temperature from 37.5° C (99.5° F) to 38.6° C (101.5° F). *Increase in the heart rate from 88 to 110/min.

increase hr from 88 to 110

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock? Increased heart rate Widening pulse pressure Increased deep tendon reflexes Pulse oximetry 96%

increased heart rate

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding? hypertension flushing of the skin oliguria bradypnea

oliguria

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client? Cryoprecipitates Platelets Albumin Packed RBCs

packed RBCs

A nurse is creating a plan of care for a client who is in the late stage of inhalation anthrax. Which of the following is appropriate to include in the plan of care? Provide respiratory support. Place the client in droplet isolation. Administer antihypertensive medications. Monitor ascites.

provide respiratory support

A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate? Respiratory distress Flu-like symptoms Skin lesions with pruritus Bloody diarrhea

skin lesions with pruritus

A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply). Severe hypotension Visual hallucinations Hyperglycemia Insomnia Tremors

visual hallucinations insomnia tremors