Lewis pearson questions for burns, emergency preparedness, ect

Terrorists have detonated a bomb in the downtown area of a major city, destroying part of a hotel, damaging nearby buildings, and killing or injuring an unknown number of people. A nurse in an emergency department handling many clients injured in the explosion receives a phone call from the babysitter for her children aged 5, 6, and 9, who says she's been watching the event unfold on TV since it happened. The nurse's family lives in a suburb more than 20 miles from the downtown. What should the nurse say?

"Please tell my children I'm alright but turn off the television and play a game with them to get them thinking about something else."

A client asks the nurse, "How am I going to pay for a surgery? I'm broke, but I've been so sick." Which statement regarding the Affordable Care Act (ACA) may be applicable to this client's situation?

"The ACA extends coverage to people who do not qualify for public assistance and whose employers do not offer health insurance."

The nurse is participating on a local council as an advisor regarding community needs during an emergency. Which recommendation regarding community needs during an emergency that the nurse might include when advising the council would be involved in the emergency response phase?

A coordinated emergency preparedness plan

The nurse is reviewing client records to determine which clients are good candidates for case management. Which client would the nurse choose as having the highest priority for assigning a case manager?

A newborn who was diagnosed with cerebral palsy

Gastric lavage and administration of activated charcoal are ordered for an unconscious patient who has been admitted to the emergency department (ED) after ingesting 30 lorazepam (Ativan) tablets. Which action should the nurse plan to do first?

Assist with intubation of the patient.

The nurse working in a healthcare setting is charged with inappropriate delegation after asking an unlicensed assistive personnel (UAP) to change the IV bag for a client. To which agency should this action be reported?

Board of nursing

A patient is admitted to the emergency department (ED) after falling through the ice while ice skating. Which assessment will the nurse obtain first?

Breath sounds

A 54-year-old patient arrives in the emergency department (ED) after exposure to powdered lime at work. Which action should the nurse take first?

Brush off any visible powder on the skin and clothing.

When assessing an older patient admitted to the emergency department (ED) with a broken arm and facial bruises, the nurse observes several additional bruises in various stages of healing. Which statement or question by the nurse is most appropriate?

Do you feel safe in your home?

Which practices support promotion of health safety? Select all that apply.

Exercise every day Avoid driving when sleepy or tired Wear seat belts

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital. In order to provide safe care to clients, the nurse should plan to develop which competency?

Functioning as a member of the healthcare team

A 20-year-old patient arrives in the emergency department (ED) several hours after taking 25 to 30 acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?

Give N-acetylcysteine (Mucomyst).

The nurse is working with an emergency response team following massive flooding caused by a hurricane. What will working with the Clinical Outreach Communication Activity (COCA) team enable the nurse to do?

Have two-way communication with the Centers for Disease Control and Prevention (CDC) concerning infection risks.

A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). The nurse determines that discharge teaching has been effective when the patient makes which statement?

I should drink sports drinks when working outside in hot weather.

A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues. Which aspects of the Affordable Care Act (ACA) affect children favorably? Select all that apply.

Insurance companies cannot deny coverage based on preexisting conditions. Insurance companies cannot drop children who have serious illnesses.

Which of the following individuals would be included on an interdisciplinary healthcare team but not on an interprofessional healthcare team?

Laboratory technologist

A nurse working at a burn center is caring for a client with an electrical burn. According to the American Burn Association, how would this burn be classified?

Major

________ occurs when two or more individuals show or feel honor or esteem toward one another, and it is an important element of successful collaborative practice.

Mutual respect

During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient is breathing and has an unobstructed airway. Which action should the nurse take next?

Observe the patients respiratory effort.

A home healthcare nurse is planning care for an older adult client. Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply.

Programs of All-Inclusive Care for the Elderly (PACE) Outpatient clinic

In arranging community services for a client who is diagnosed with schizophrenia, the nurse case manager discusses options with the assertive community treatment (ACT) team. Which team disciplines should the nurse expect will be part of the client's ACT interdisciplinary team?

Psychiatrists, nurses, social workers, employment counselors

The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?

Remove the patients rings.

A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When planning for this client's continued care, who will the nurse notify regarding the client's postdischarge needs?

The case manager

As a working professional concerned with proper resource allocation, the nurse knows that one reason to join the American Nurses Association (ANA) is for which opportunity?

To participate in national discussions about resources

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department. The American Nurses Association (ANA) is a resource the nurse manager can use to help nurses understand which of the following during an emergency response?

The ethics of emergency response

If more older adults live in Mississippi than elsewhere in the United States and clients in Massachusetts have much greater access to health services than clients elsewhere in the United States, then what does this imply about access of older adults to healthcare in Mississippi?

The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers.

At a local seminar discussing healthcare resources, the nurse discusses the phenomenon that healthcare resources are declining while costs for healthcare are increasing. An older adult in attendance asks the speaker why it has become so difficult to obtain needed care and services. Which response by the nurse is the most appropriate?

"There is increased cost due to the increased incidence of malpractice lawsuits."

The home health nurse is talking with the parents outside the bathroom door while their 1-year-old twins are playing in the tub. Which client statement would require further safety teaching?

"Why don't we talk in the living room?"

The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate?

) "Let's discuss other options that might work well for you and your family."

After the return of spontaneous circulation following the resuscitation of a patient who had a cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse include in the plan of care?

Apply external cooling device.

What nursing intervention is appropriate for a client with dry and cracked feet?

Apply lotion to the client's feet after bathing

A nurse is assessing the hospital environment in order to decrease the risk for client falls. Which intervention should the nurse implement to decrease the risk of client falls?

Clean the environment of clutter.

A nurse is performing START triage for clients injured in a terrorist attack. Which client would the nurse classify as expectant?

Client is apneic after positioning of an airway.

The nurse is helping with discharge planning for a client who needs extensive rehabilitation and is on a complicated medication schedule. The client and spouse currently live with their eldest son, and the family is very involved in the client's care. The nurse would want to coordinate the client's daily care by including which priority individuals? Select all that apply.

Client's children Client's spouse

A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of adolescent pregnancies in the community. They have defined the problem and are now focusing on objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe?

Decision making

A railway accident causes the release of a dangerous chemical compound into the atmosphere. The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone in this incident?

Decontamination

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer. When receiving the shift report, the nurse finds that this family member has been assigned as a client. The nurse who cared for this individual on the outgoing shift states that the client is very demanding and complains a lot. Which action by the staff nurse who is assigned care for the oncoming shift is appropriate?

Discuss the situation with the charge nurse.

When planning the response to the potential use of smallpox as an agent of terrorism, the emergency department (ED) nurse manager will plan to obtain adequate quantities of

vaccine.

The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured clients. Which of the following is the best example of this problem for the educator to share with the students?

"Delays of diagnoses lead to higher mortality and morbidity rates."

The nurse is caring for a 3-year-old child who is in the hospital for the first time. The child appears frightened and is clinging to her parents. What action can the nurse take to help the child feel more secure if the child needs to stay at the hospital without her parents?

Have the parents bring comfort items from home to leave with the child

The nurse is planning care for a client in the acute stage of a burn injury. Which aspects of care should the nurse identify as a priority? Select all that apply.

Nutrition Pain management Wound care

A group of nurses attend an in-service regarding emergency preparedness for the hospital. One of the nurses has three small children and lives in a two-story house in the suburbs. After the class, the nurse plans to initiate which action to enhance family safety?

Obtaining a fire escape ladder for the second floor of the home

After completing an assessment, the nurse determines a client is at risk for safety issues. Which data supports the nurse's conclusion?

Occasional dizziness with walking

A complaint about unsafe working conditions should be reported to which agency?

Occupational Safety and Health Administration

The home healthcare nurse is traveling to a client's home for the first time. What observation would suggest a safety hazard for the nurse?

Porch steps that are broken and rotting

A client who sustained burns to both lower extremities reports feeling frustrated by not being able to provide self-care. Which nursing diagnosis would be appropriate for the client at this time?

Powerlessness

The staff nurses are discussing interventions to reduce the risk of infection for the client population. Which intervention is the most important to decrease client infection?

Practice appropriate hand hygiene.

The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu. The nurse discusses the need for flu shots with the client, who states, "I cannot afford the shots. I do not have health insurance." Which suggestion by the nurse is most appropriate?

Seek preventive care at the local health department.

The nurse is caring for a 230-lb client who needs to be repositioned every 2 hours. While repositioning the client, the nurse injured a muscle in her back. To prevent the injury and ensure safety for both the nurse and client, what should the nurse have done differently in this situation?

She should have asked for help from another nurse.

During the primary survey of a patient with severe leg trauma, the nurse observes that the patients left pedal pulse is absent and the leg is swollen. Which action will the nurse take next?

Start normal saline fluid infusion with a large-bore IV line.

The nurse is assessing an older adult client in the free clinic. The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit. The nurse assesses the client for possible causes for this increase. After determining that the client has not changed dietary and exercise habits, which conclusion by the nurse is the most appropriate?

The client may not be taking medications as prescribed

The nurse is managing the care of an older adult client who is near the end of life but still has treatment options available. The treatment options could potentially be painful and expensive, and they would only extend the client's life approximately 2 months. What important topic should the nurse include during initial discussions with the client and family?

The client's health and impending mortality

The nurse taking care of a client in the clinic notes that the client comes in twice per week, but never seems to have anything majorly wrong. Which is a benefit of providing education about self-care to this client?

The client's perception of need will change, promoting appropriate and timely healthcare.

When rewarming a patient who arrived in the emergency department (ED) with a temperature of 87 F (30.6 C), which assessment indicates that the nurse should discontinue active rewarming?

The core temperature is 94 F (34.4 C).

The nurse is assessing a 12-year-old male client. The client is within the normal range for height, weight, and body mass index (BMI) for his age. The client plans to play contact sports at school this year. He lives with his mother and attends after-school events when she is working late. What education should the nurse identify as a priority for this client to promote safety?

The importance of using safety equipment when playing contact sports

The nurse is caring for a client with a self-reported latex allergy. Which strategy can the nurse use to ensure the safety of this client?

Wash hands after taking gloves off

The nurse is providing care to a pregnant client who has type 2 diabetes mellitus. The client has asked about how the medications she is taking will affect her fetus. How should the nurse respond?

"If you have any concerns about how your medication will affect your fetus, you should talk to your primary care physician."

A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which response by the nurse indicates an understanding of the client's position and a willingness to collaborate regarding the discharge plan?

"Let's talk about your objections and possible solutions or alternatives."

A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls. Which response by the nurse is best?

"There is a potential for errors in all healthcare settings. The posters remind the staff and the clients of the need to work together to prevent them."

A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN) degree. After considering projected changes in healthcare and the population cared for in the community, which includes an expanding minority population composed largely of immigrants arriving from Central and South America as well as older adults as the fastest-growing demographic, the student might consider selecting which elective course?

A course on medical Spanish

Following an earthquake, patients are triaged by emergency medical personnel and are transported to the emergency department (ED). Which patient will the nurse need to assess first?

A patient with a red tag

The emergency department (ED) triage nurse is assessing four victims involved in a motor vehicle collision. Which patient has the highest priority for treatment?

A patient with paradoxic chest movements.

A nurse conducted a class on fall prevention for a group of older adult clients in the community. Which observation during a client home visit indicates that teaching on fall prevention was effective?

A shower seat was placed in the shower.

The nurse is providing care to a pediatric client who was admitted to the pediatric intensive care unit (PICU) with a partial-thickness thermal burn. When planning care for this client, which should the nurse consider regarding this type of burn?

A superficial partial-thickness burn extends from the skin's surface into the papillary layer of the dermis.

Which of the following conflict-related communication styles involves attempting to satisfy the concerns of others while neglecting the self?

Accommodating

When a nurse performs or observes nursing practices that are not safe, the nurse has a responsibility to report those actions. This principle ties the concept of safety to what other nursing concept?

Accountability

Why should job seekers in the healthcare sector pay attention to advances in healthcare technology?

Advances in technology require specialized personnel.

Which data supports the nurse's concern that a client is at a high risk for a burn injury? Select all that apply.

Age 71 years Currently smokes one pack of cigarettes per day

The nurse is evaluating the adequacy of the burn-injured client's nutritional intake. Which laboratory value is the best indicator of nutritional status?

Albumin level

The nurse is conducting a class for a group of pregnant clients. Which topics should the nurse include when teaching this group about safety of the fetus?

Alcohol consumption

A nurse recently attended a seminar that discussed the many threats to homeland security. As nurse manager of the emergency department, the nurse is responsible for planning for emergencies from bioterrorism. Which agents does the nurse include when planning for bioterrorism? Select all that apply.

Anthrax Smallpox

Family members are in the patients room when the patient has a cardiac arrest and the staff start resuscitation measures. Which action should the nurse take next?

Ask the family members about whether they would prefer to remain in the patients room or wait outside the room.

The nurse is developing a plan of care for a client who is at risk for falls. Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply.

Assess the client's vision and make sure he is using any prescribed eyewear. Use side rails on client beds. Keep frequently used items within easy reach.

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital. As part of the emergency response, the charge nurses in the emergency department (ED) and intensive care unit (ICU) are responsible for which tasks? Select all that apply.

Assigning care for the clients as they are admitted to the unit Assessing the priority of the current clients for the ED or ICU Delegating staff nurses to gather needed supplies for the arriving clients

When preparing to cool a patient who is to begin therapeutic hypothermia, which intervention will the nurse plan to do (select all that apply)?

Assist with endotracheal intubation. Insert an indwelling urinary catheter. Begin continuous cardiac monitoring.

A 22-year-old patient who experienced a near drowning accident in a local pool, but now is awake and breathing spontaneously, is admitted for observation. Which assessment will be most important for the nurse to take during the observation period?

Auscultate breath sounds.

A young mother brings her children to the health department for routine immunizations. The mother is crying because she lost her job and fears that her asthmatic daughter may be denied appropriate healthcare because she is unable to pay for it. The nurse realizes that many clients are experiencing these fears. Which action by the nurse would have the greatest impact for all clients who experience this fear?

Becoming involved in the American Nurses Association (ANA)

The nurse is taking care of a client who is being discharged but will need home nursing care, physical therapy, and speech therapy. Which framework helps the client who has multiple care needs?

Case management

A home health nurse is planning care for an adult client who is being discharged from the hospital after experiencing complications of diabetes mellitus. The client requires an extensive dressing change twice per day, help with activities of daily living, and comprehensive education. To ensure these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is the nurse assuming by coordinating this client's care?

Case manager

Which of the following is an example of covert conflict?

Complaining to a friend about an assigned job task

Several nurses are discussing the Joint Commission's 2016 National Patient Safety Goals during a staff meeting. Which element of performance should the nurses implement to meet the goal of identifying clients correctly?

Consistently using two methods to identify the client

A nurse is caring for a client who had a total hip replacement 14 days ago. The client is preparing for discharge in a few days. The nurse facilitates a care conference with the primary healthcare provider, occupational therapist, physical therapist, and the client and family to develop a plan of care for the client prior to discharge. Which roles are being demonstrated by this nurse? Select all that apply.

Coordinator Collaborator

A nurse educator is teaching a group of students about managed care. The educator knows that the students have understood the concept when they state that managed care has which emphasis? Select all that apply.

Cost-effective care Preventive services Health promotion

A nurse working in an outpatient OB-GYN clinic is asked to assume the case management for the clinic's adolescent clients. Which skills will the nurse need to perform this work?

Critical thinking

The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources. Which method does the educator include in the teaching session regarding this topic?

Denying coverage for services not supported by research

How should the nurse position a client who is returned to the burn unit following a graft procedure to the leg?

Elevate the affected extremity

A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

Engage clients in their own safety

While reviewing safety precautions with the staff in a long-term care facility, which step should the nurse emphasize that helps to promote a safe environment for the clients?

Have the client wear shoes with rubber skid-resistant soles.

A client in the clinic asks the nurse about a medication seen on television. When the nurse suggests a generic, cheaper version of the medication, the client is resistant to this recommendation. This is an example of which of the following?

Healthcare treatment choices that drive up costs

A client who is living independently but needs skilled nursing services may take advantage of what type of healthcare?

Home healthcare

A nurse manager overhears two staff nurses talking about a third nurse, who has the day off. The two nurses are making unflattering comments regarding the third nurse in front of several other nurses who work on the unit. The nurse manager discreetly asks to speak to the two nurses in private and states, "This behavior isn't OK, especially in a hospital like ours with a 'zero-tolerance policy.' If you have an issue with another nurse, please deal with that nurse directly. If you'd like me to help you with this, please let me know, and the four of us can meet." The nurse manager's behavior modeled strategies for dealing with which type of workplace conflict?

Horizontal violence

An experienced nurse has accepted a new position in the mental health unit after working in the medical-surgical floor for the past 4 years. What training would be beneficial for the nurse to refresh before starting her new position?

How to manage aggressive behaviors

The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG) testing, phlebotomy, and some respiratory therapy interventions. This clinic is providing client-focused care. Which of the following actions shows this delivery model in action?

If a client complains of breathing difficulty, nurses concentrate on respiratory therapy for that client.

A nurse who is caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. What is the most likely reason why the nurse is experiencing conflict regarding this situation?

The nurse may not trust the resident to make the best care decisions.

The nurse managers in a community hospital have been charged with reviewing the job descriptions of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain client care activities to UAP by nurses. To which group, organization, or individual would the committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAP?

The state board of nursing

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's care, and the scene is chaotic. The client's parents are extremely anxious and want to know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting?

To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care

The urgent care center protocol for tick bites includes the following actions. Which action will the nurse take first when caring for a patient with a tick bite?

Use tweezers to remove any remaining ticks.

A patient who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel. During the primary survey of the patient, the nurse should

obtain a Glasgow Coma Scale score.

Nurses who demonstrate mindsight are able to?

recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently.

An adult burn patient is brought in to the intensive care unit (ICU) for treatment. Prior to sustaining the injury, the client was considered underweight for her height. The nurse understands that this may have important implications for the client because

she will lose as much as 20% of her preburn weight during rehabilitation.

An adult burn patient is receiving fluid resuscitation of warm, lactated Ringer's solution during the first 24 hours following injury. The client's hourly urine output is being monitored to determine whether the resuscitation is adequate. The most recent reading is 1.10 mL/kg/hr. The nurse understands that this amount of urine output is

slightly higher than the normal range.

An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment. The nurse wants to use evidence from the literature to support her argument. Which of the following are documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply.

Improved client outcomes Reduction in duplication of healthcare services Decreased client morbidity and mortality Higher level of job satisfaction

A client is evaluated after suffering severe burns to the torso and upper extremities. The nurse notes edema at the burned areas. Which of the following best describes the underlying cause of this manifestation?

Inability of the damaged capillaries to maintain fluids in the cell walls

The nurse is preparing for the discharge of a client who will require physical therapy (PT) for rehabilitation following a total knee replacement. After reading the healthcare provider's order for PT, what should the nurse do next?

Inform the client about the settings in which PT may occur and have the client choose the venue

A case manager assembles a team of healthcare professionals, including a client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble?

Interdisciplinary team

The nurses in the emergency department (ED) and the staff nurses on the neurology unit are experiencing conflict. The ED nurses are not pleased with the amount of time it takes for the neurology unit's admitting nurse to receive face-to-face handoff communication for clients who are being admitted to that unit. Which type of conflict is being experienced by these nurses?

Intergroup conflict

The nurse is caring for a client who is to receive mechanical debridement of burn wounds. Which methods should the nurse anticipate using to complete this treatment? Select all that apply.

Irrigation of the burn wounds Application of wet-to-dry gauze dressings Hydrotherapy

A burn patient is currently in the acute stage. When did this stage begin, and when will it end?

It began with the start of diuresis and will end with the closure of the burn wound.

The detonation of several incendiary devices in a suburban area has caused widespread fires. A nursing home nearest one of the largest fires needs to be evacuated. What is the concern a nurse working in the home will have for his clients in this situation?

Limited mobility

The nurse is caring for a preschool-age client who suffered brain damage following a car accident. The client has a tracheostomy, is ventilator-dependent, and will be discharged from the hospital into the family's care. The family wants to care for the child at home but does not have the resources for 24-hour care. Which action by the care manager is appropriate?

Making referrals to a variety of community-based agencies that can meet the family's needs

The nurse is conducting a home risk assessment for a family with toddler and preschool-age children. Which should the nurse identify as the priority safety hazard?

Medications on the kitchen counter

A community hospital wants to implement a labor—delivery—recovery—postpartum unit to replace the labor and delivery and mother/baby units. The nurses who work on the mother/baby unit are concerned they will not be able to care for laboring mothers and may lose their jobs. The nurse manager for both units supports the plan for an integrated unit, reports that jobs will not be lost, and involves the team members in the planning process, which includes cross-training all nursing staff. Based on the information presented, what causes of conflict may occur despite the nurse manager's effort for a smooth transition? Select all that apply.

Mistrust Resistance to change

Nurse leaders in a local hospital created a neurotrauma (NT) unit healthcare team focused on improving outcomes for stroke clients. This team includes acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dietitians), and representatives from the NT outpatient clinic. The team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the clients, asking the same or similar questions to obtain data needed for the treatment plan. Which type of communication and action is represented in this scenario?

Parallel communication

The emergency department (ED) nurse is initiating therapeutic hypothermia in a patient who has been resuscitated after a cardiac arrest. Which actions in the hypothermia protocol can be delegated to an experienced licensed practical/vocational nurse (LPN/LVN) (select all that apply)?

Place cooling blankets above and below patient. Give acetaminophen (Tylenol) 650 mg per nasogastric tube. Insert rectal temperature probe and attach to cooling blanket control panel.

Reducing the risk of functional decline in older adults can help prevent which complication?

Pressure ulcers

The nurse is caring for a client who sustained multiple injuries in an automobile accident. As a part of secondary prevention for this client, which does the nurse include in the plan of care?

Prevent the progression of more symptoms.

) The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?

Provide referrals to other professionals who can help the client meet this goal.

The nurse knows that communication among healthcare team members is essential during mass casualty events (MCEs). Which is essential when communicating under these circumstances?

Providing concise, accurate, and timely information

A hospital has had higher than average reports of client handling and movement injuries. What could the nurse advocate for that could most help reduce the number of client handling injuries?

Purchase lifting devices

Which action by a nurse would require immediate intervention by another healthcare team member?

Recapping a needle while holding the cap.

A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager. The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions. Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior. When assessing the staff's group dynamics, which action by the nurse manager is appropriate?

Recognize that the group already has defined behavioral norms.

The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA) of 1986 to prevent which action by emergency services?

Refusing to treat uninsured clients

A nurse is responding in the aftermath of a hurricane. Hundreds of clients demand attention. The nurse will implement which of the following in assessing the priority of these clients?

Reverse triage

A 19-year-old is brought to the emergency department (ED) with multiple lacerations and tissue avulsion of the left hand. When asked about tetanus immunization, the patient denies having any previous vaccinations. The nurse will anticipate giving

TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).

The nurse is providing care to a 12-year-old child with special needs and his caregiver. What strategies should the nurse help the caregiver teach the child to improve the child's safety?

Teach the child how to use a telephone to call for help

The nurse is caring for a 43-year-old client. What education should the nurse implement to best address the overall health promotion needs of someone in this age group?

Teach the client about age-appropriate medical screenings

A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the urgent care center. Which action will the nurse plan to take?

Teach the patient the reason for the use of prophylactic antibiotics.

The nurse is planning to provide care to extended family members spanning three generations who are being treated for burn injuries after a fire. Based on an understanding of lifespan factors, the nurse should anticipate that which of the following is true?

The 82-year-old grandmother is more likely to have burns to a greater percentage of her total body surface area (TBSA) than younger family members.

A nurse is planning a community health fair at a local community center. Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply.

The ability to change and modify goals as health needs change The ability for clients to be able to assess and evaluate their health needs

An older adult client with severe burns over more than half of the body has an indwelling catheter. When evaluating the client's intake and output, which of the following should be taken into consideration?

The amount of urine will be reduced in the first 24 to 48 hours and will then increase.

The local clinic staff has noticed an increase in the flu this season and requested more vaccine from the Centers for Disease Control and Prevention (CDC). The nurse knows that the CDC will control the vaccine distribution by considering which factors? Select all that apply.

The amount of vaccine being requested by local health departments The speed at which the vaccine becomes available Who gets the available vaccine

An unresponsive 79-year-old is admitted to the emergency department (ED) during a summer heat wave. The patients core temperature is 105.4 F (40.8 C), blood pressure (BP) 88/50, and pulse 112. The nurse initiallywill plan to

apply wet sheets and a fan to the patient.

A triage nurse in a busy emergency department (ED) assesses a patient who complains of 7/10 abdominal pain and states, I had a temperature of 103.9 F (39.9 C) at home. The nurses first action should be to

assess the patients current vital signs.

A patient who has experienced blunt abdominal trauma during a motor vehicle collision is complaining of increasing abdominal pain. The nurse will plan to teach the patient about the purpose of

abdominal ultrasonography.

A client in the intensive care unit is combative and pulling at the endotracheal tube, which must remain in place. After exhausting all alternatives, the nurse applies soft restraints to protect the client's airway. Which action should the nurse take next?

Notify the primary healthcare provider.

The charge nurse assesses clients during a mass casualty incident (MCI) and transfers some to other units but discharges others to home. In planning for the admission of critically ill clients from the emergency department, to which nurses will the charge nurse assign the new clients when admitted to the unit?

Nurses with advanced assessment skills

Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time?

Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings