NP 235 Unit 7 Quiz

What is the priority when triaging patients during a disaster? Address the most sever cases first ABCDE assessment Those with the best chance of survival first What is the process when treating a patient with a chemical exposure? Decontamination 00:03 01:41 How should a nurse respond to an aggressive patient? 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 -calm voice, remain calm, good eye contact What is the purpose of infusing warm fluids to patients with hypovolemic shock? To prevent hypothermia Warm the body up When is the best time to obtain a surgical consent? Before giving preoperative medication So they are fully alert and aware of what they are agreeing to What is the role of the LPN during a patient discharge? Reinforcing discharge instructions Teach back What are signs and symptoms of Hypovolemic shock? confusion restlessness diaphoresis rapid thready pulse increased respiratory rate cold, clammy skin decreased blood pressure Fast heart rate, fast breathing, low blood pressure, cool clammy skin What are the stages of hypovolemic shock? Compensated- increased HR, cool clammy skin, 750 or less blood loss Progressive Irreversible- 1500 or more, multi organ failure, kidneys and brain may shut down What is the main role of the Incident Commander? Launching the plan, plan everything that is going to happen Person in charge What is the BEST response of hospital leadership after a major incident happens? Critical incident stress debriefing (CISD) A team that provide sessions for small groups of personnel to help with effective coping strategies. What precautions are taken when caring for a patient with the plague? Respiratory DROPLET precautions Standard precautions How does a nurse recognize child abuse? unexplained or questionable injuries does not match the injury pattern. What is the Quality Improvement Committee? a committee that focuses on... greatest risk the greatest costs in terms of both human and monetary costs the greatest volume and/or the most problem prone. What is the main cause of Cardiogenic shock? Decreased cardiac output Heart Failure dysrhythmias myocardial infarction (MI) What are some signs and symptoms of Cardiogenic shock? SOB rapid breathing sweating pale skin Increase HR Low BP What are risk factors of sepsis? Old age weakened immune system drug resistant bacteria infection In time management what is the goal of the nurse when completing tasks? 1. Allow time for planning and establishing priorities. 2. Complete the highest priority task whenever possible, and finish one task before beginning another. 3. Reprioritize based on the remaining tasks and on new information that may have been received. What does malpractice mean? What is an example? When a nurse fails to competently perform his or her medical duties, and that failure harms the patient. Administering the wrong drug to failing to notify a doctor when something is really wrong. A type of negligence "professional negligence" During a chemical disaster what are the steps needed in order to reduce exposure? Decontam