NUR 150- Emergency nursing Questions with Complete Answers

A pt. with smallpox dies. How should their body be disposed? - Cremation; virus can live in scabs for up to 15 yr Edema, pruritus, and a 2 mm ulcerated vesicle are characteristic of? - CUTANEOUS anthrax If a chemical exposure occurs in a public place, what do you recommend people do? - Stand up! Chemical will sink to floor. A nurse hears that a bioterrorism attack occurred in her neighborhood; what should she do? - Report to the local hospital for directions Once a tag is placed on a pt, can it be removed for assessment? - NO. Never remove the tag once it's there. Several gang members are injured and are brought to the ER, where one gang member points a gun at a rival gang member. Should the nurse intervene? - No. Get out of the way and protect self. Nurses are not required to be injured in the line of duty. What is our ultimate goal while performing triage nursing in an emergency situation? - Do the greatest amount of good for the greatest number of individuals Resources are limited Minor injuries that can be treated with first aid? - GREEN Injuries that require medical treatment, but are NOT life threatening and could be prolonged for hours or days if necessary? - YELLOW Life threatening injuries that require rapid treatment? - RED Injuries where the pt. has little to no chance of survival, even with treatment? - BLACK Pt. is breathing OVER 30 breaths/minute; label them? - RED! This is shock and requires immediate care. Pt. is breathing UNDER 30 breaths/minute; label them? - Depends; no breaths = dead (BLACK) Step 1 in the SALT routine is? - Sorting Three levels of sorting: - Walk; wave; still You identify yourself and ask the pt. to walk to you and they do; they are assessed? - THIRD (3rd) You identify yourself and ask the pt. to walk to you and they WAVE; they are assessed? - SECOND (2nd) You identify yourself and ask the pt. to walk to you and they neither walk nor wave; they are assessed? - FIRST (1st) Step 2 in the SALT routine is? - Assess Once you determine whether your pt. is breathing or not, what are the four (4) things you look for? - 1) Obeys commands or makes purposeful movement? 2) Has peripheral pulse? 3) Not in respiratory distress? 4) Major hemorrhage controlled? Your pt. has a major hemorrhage; this rules out? - GREEN and YELLOW Your pt. does NOT have peripheral pulses; this rules out? - GREEN and YELLOW Your pt. does NOT obey commands or make purposeful movement; this means they are either? - BLACK or RED Is anthrax contagious (contagious in this quizlet refers to person to person)? - NO From what do people usually contract anthrax? - Animals or contaminated animal products Explain what happens with spores in anthrax? - They can live dormant for years and years, then become activated when they enter the body. Once in the body, the spores become toxins and can eventually produce death. Can anthrax be spread by inhalation? - Yes; if hides, wool, or hair are processed Three ways people get anthrax: - Injecting heroin Eating raw or undercooked meat from infected animals Working with infected animals or animal products S/S of INHALATION anthrax? - Fever, persistent cough, dyspnea Treatment of anthrax? - Antibiotics for 60 days Standard precautions What does Botulism do? - Paralyzes muscles Three types of Botulism? - Foodborn botulism (occurs within hours to days) Infant botulism (most common) Wound botulism Is Botulism contagious? - No S/S of Botulism? - double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, dry mouth, and muscle weakness that moves down the body, usually affecting the shoulders first, then the upper arms, lower arms, thighs, calves, etc. might see constipation in infant botulism An antitoxin might be used for? - Botulism; most people recover after weeks to months