Chapter 63: First Aid, Emergency Care, and
Disaster Management
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A mother brings in her 2-year-old who has ingested gasoline 1 hour earlier: What should
the nurse implement following the initial assessment?
a. Prepare to administer syrup of ipecac:
b. Turn the patient on his or her stomach to induce vomiting:
c. Prepare to administer Milk of Magnesia:
d. Prepare to administer bowel lavage and cathartics:
ANS: D
Bowel lavage and cathartics will rid the body of the petroleum product: Inducing
vomiting when the patient has consumed petroleum products is contraindicated:
Ipecac is no longer recommended, and Milk of Magnesia will not be effective:
DIF: Cognitive Level: Application REF: p: 1255 OBJ: 2
TOP: Poisoning KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. While at the local pool on an extremely hot day, a nurse is called on to care for a woman
who has evidently developed heat exhaustion: What is the initial nursing care for this
person?
a. Obtain vital signs:
b. Move the patient into an air-conditioned or shaded area:
c. Give her several glasses of ice water:
d. Cover her with a wet towel:
ANS: B
The goal for treatment of heat exhaustion is to cool the body initially and slowly in an
, air-conditioned or shaded area: After the patient is moved, applying wet towels and
giving cool drinks are appropriate:
DIF: Cognitive Level: Application REF: p: 1253 OBJ: 4
TOP: Heat Exhaustion KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient comes to the emergency department with an evisceration after a knife attack:
What is the best nursing intervention related to the exposed bowel?
a. Gently replace the bowel into the abdominal cavity:
b. Place a sterile wrapped sandbag on the abdomen to prevent further evisceration:
c. Place the patient in a high Fowler position to allow the bowel to drop back into the
abdominal cavity:
d. Cover the bowel with a moist saline dressing:
ANS: D
The nurse protects the tissue from further injury and drying out by the application of a
sterile saline dressing:
DIF: Cognitive Level: Application REF: p: 1251 OBJ: 4
TOP: Abdominal Injury KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A patient visits the industrial nurse after an accident on the factory floor, which has
amputated three toes: What is the most effective nursing intervention for the amputated
toes?
a. Rinsing with normal saline and placing on a sterile towel
b. Placing toes as they are on ice in a sterile container
c. Placing the unwrapped toes in a saline bath
d. Placing the saline-wrapped toes in a plastic bag in a saline bath
ANS: D
The toes should be wrapped in a saline dressing and placed in an airtight bag in a cool
saline bath: The toes should not be in direct contact with ice or be placed in the
freezer:
DIF: Cognitive Level: Application REF: p: 1251 OBJ: 4
Disaster Management
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A mother brings in her 2-year-old who has ingested gasoline 1 hour earlier: What should
the nurse implement following the initial assessment?
a. Prepare to administer syrup of ipecac:
b. Turn the patient on his or her stomach to induce vomiting:
c. Prepare to administer Milk of Magnesia:
d. Prepare to administer bowel lavage and cathartics:
ANS: D
Bowel lavage and cathartics will rid the body of the petroleum product: Inducing
vomiting when the patient has consumed petroleum products is contraindicated:
Ipecac is no longer recommended, and Milk of Magnesia will not be effective:
DIF: Cognitive Level: Application REF: p: 1255 OBJ: 2
TOP: Poisoning KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. While at the local pool on an extremely hot day, a nurse is called on to care for a woman
who has evidently developed heat exhaustion: What is the initial nursing care for this
person?
a. Obtain vital signs:
b. Move the patient into an air-conditioned or shaded area:
c. Give her several glasses of ice water:
d. Cover her with a wet towel:
ANS: B
The goal for treatment of heat exhaustion is to cool the body initially and slowly in an
, air-conditioned or shaded area: After the patient is moved, applying wet towels and
giving cool drinks are appropriate:
DIF: Cognitive Level: Application REF: p: 1253 OBJ: 4
TOP: Heat Exhaustion KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient comes to the emergency department with an evisceration after a knife attack:
What is the best nursing intervention related to the exposed bowel?
a. Gently replace the bowel into the abdominal cavity:
b. Place a sterile wrapped sandbag on the abdomen to prevent further evisceration:
c. Place the patient in a high Fowler position to allow the bowel to drop back into the
abdominal cavity:
d. Cover the bowel with a moist saline dressing:
ANS: D
The nurse protects the tissue from further injury and drying out by the application of a
sterile saline dressing:
DIF: Cognitive Level: Application REF: p: 1251 OBJ: 4
TOP: Abdominal Injury KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A patient visits the industrial nurse after an accident on the factory floor, which has
amputated three toes: What is the most effective nursing intervention for the amputated
toes?
a. Rinsing with normal saline and placing on a sterile towel
b. Placing toes as they are on ice in a sterile container
c. Placing the unwrapped toes in a saline bath
d. Placing the saline-wrapped toes in a plastic bag in a saline bath
ANS: D
The toes should be wrapped in a saline dressing and placed in an airtight bag in a cool
saline bath: The toes should not be in direct contact with ice or be placed in the
freezer:
DIF: Cognitive Level: Application REF: p: 1251 OBJ: 4
