Question 1

A patient with severe hypothermia is comatose with fixed dilated pupils, flaccid muscles, and ventricular fibrillation. The core body temperature of this patient is most likely below ____________________°F.Other

Accepted Answer

The answer of A patient with severe hypothermia is comatose...

Question 2

A patient is admitted for mild hypothermia. Which of the following signs or symptoms should the nurse expect to find? (Select all that apply.?

Accepted Answer

The answer of A patient is admitted for mild hypothermia....

Question 3

Normal capillary refill time is ________________second(s).

Accepted Answer

The answer of Normal capillary refill time is ________________second(s)....

Question 4

The nurse is helping triage in the emergency department as victims of an explosion are being brought in. Rank (1-5) the following patients according to their need for priority treatment according to disaster response protocols and best chance of survival?
a. _A 15-year-old with a laceration to the foot that is bleeding slightly
B. _A 36-year-old who has no pulse or respirations and has an open head injury
C. _A 70-year-old with shortness of breath but no detectable cardiac arrhythmias
D. _A 5-year-old with a suspected fracture of the humerus
E. _A 58-year-old woman with a distended abdomen who reports severe abdominal pain

Accepted Answer

The answer of The nurse is helping triage in the...

Question 5

The nurse is providing care to a college student having a psychiatric emergency and related suicide attempt. Which of the following actions should the nurse take first?

Accepted Answer

Determining if alcohol or illicit drugs have been used recently is crucial in managing a psychiatric emergency and suicide attempt as substance abuse can worsen the patient's condition and affect treatment decisions. A should not be the priority as the patient's dietary needs are not the most urgent concern. C should follow after ensuring the patient's safety and stabilizing their condition. D is important but can be done later as medication administration may not be immediately necessary in a psychiatric emergency.

Question 6

Which of the following would the nurse recognize as signs or symptoms of the early stage of increased intracranial pressure (ICP)? (Select all that apply.?

Accepted Answer

The answer of Which of the following would the nurse...

Question 7

The nurse is caring for a patient who reports being bitten by a coral snake less than an hour ago. Which of the following symptoms would the nurse expect to see? (Select all that apply.?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 8

The nurse is caring for a patient who has sustained abdominal injury in a motor vehicle accident. Which of the following symptoms would be most concerning?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

In the middle of the summer, a homeless individual is brought to the hospital. The patient reports feeling weak and faint and having a headache. The patient seems irritable and his skin is cool and clammy. Vital signs are: temperature 99.9°F, pulse 100 bpm, respirations 18/minute, blood pressure 108/60 mm Hg. What would be the appropriate action for the nurse to take?

Accepted Answer

The patient is exhibiting signs of dehydration and possibly heat exhaustion. Providing oral fluids would be the appropriate first step in treatment. The patient may require further evaluation and treatment based on their response to the fluids. The other options, preparing for a chest x-ray, providing acetaminophen, and providing Ciprofloxin, are not indicated based on the patient's symptoms and vital signs.

Question 10

After several days of hot and humid weather conditions, a patient is brought to the hospital with cold, clammy skin. The patient reports feeling weak and faint and having a headache. The patient seems irritable. Vital signs indicate a slightly elevated temperature and rapid pulse but no other signs of illness. What diagnosis should the nurse anticipate?

Accepted Answer

The symptoms described are typical of heat exhaustion, which can occur after prolonged exposure to hot and humid weather conditions. Cold, clammy skin is a sign of heat exhaustion, as is weakness, faintness, headache, and irritability. Elevated temperature and rapid pulse are also common. Heatstroke and heat cramps are other conditions associated with heat exposure but have different symptoms. Initial signs of infection would likely present with other symptoms such as fever, chills, and body aches.

Quiz 13: Nursing Care of Patients With Emergent Conditions and Disasterbioterrorism Response