NP235 Unit 7 Emergency Preparedness
Key Points
1. What is the priority when triaging patients during a disaster? - Answer care for the
victims first that have the best chance of survival
What is the process when treating a patient with a chemical exposure? - Answer 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
How should a nurse respond to an aggressive patient? - Answer 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
What is the purpose of infusing warm fluids to patients with hypovolemic shock? -
Answer If large volumes of fluid are required for fluid resuscitation, warming of the fluids
can help prevent hypothermia
When is the best time to obtain a surgical consent? - Answer The nurse must always
check that a consent form has been signed before giving the preoperative medication.
What is the role of the LPN during a patient discharge? - Answer reinforce dischage
instructions
What are signs and symptoms of Hypovolemic shock? - Answer confusion,
restlessness,
diaphoresis,
, rapid thready pulse,
increased respiratory rate,
cold, clammy skin,
decreased blood pressure,
What are the stages of hypovolemic shock? - Answer 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
What is the main role of the Incident Commander? - Answer 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.
What is the BEST response of hospital leadership after a major incident happens? -
Answer after an incident, deploy critical incident stress debriefing team to the area
What precautions are taken when caring for a patient with the plague? - Answer 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.
How does a nurse recognize child abuse? - Answer 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.
What is the Quality Improvement Committee? - Answer QAIP-have the greatest risk,
have the greatest monetary costs, has the greatest volume, are the most problem
prone, have the greater human costs
What is the main cause of Cardiogenic shock? - Answer 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
What are some signs and symptoms of Cardiogenic shock? - Answer confusion,
Key Points
1. What is the priority when triaging patients during a disaster? - Answer care for the
victims first that have the best chance of survival
What is the process when treating a patient with a chemical exposure? - Answer 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
How should a nurse respond to an aggressive patient? - Answer 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
What is the purpose of infusing warm fluids to patients with hypovolemic shock? -
Answer If large volumes of fluid are required for fluid resuscitation, warming of the fluids
can help prevent hypothermia
When is the best time to obtain a surgical consent? - Answer The nurse must always
check that a consent form has been signed before giving the preoperative medication.
What is the role of the LPN during a patient discharge? - Answer reinforce dischage
instructions
What are signs and symptoms of Hypovolemic shock? - Answer confusion,
restlessness,
diaphoresis,
, rapid thready pulse,
increased respiratory rate,
cold, clammy skin,
decreased blood pressure,
What are the stages of hypovolemic shock? - Answer 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
What is the main role of the Incident Commander? - Answer 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.
What is the BEST response of hospital leadership after a major incident happens? -
Answer after an incident, deploy critical incident stress debriefing team to the area
What precautions are taken when caring for a patient with the plague? - Answer 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.
How does a nurse recognize child abuse? - Answer 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.
What is the Quality Improvement Committee? - Answer QAIP-have the greatest risk,
have the greatest monetary costs, has the greatest volume, are the most problem
prone, have the greater human costs
What is the main cause of Cardiogenic shock? - Answer 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
What are some signs and symptoms of Cardiogenic shock? - Answer confusion,
