Testing the all-hazards preparedness plan requires drilling to identify and work through problems
Which of the following are examples of internal drills that can be used to test specific depart-ments and/or hospital responses (select all that apply)? a. Surge capacity drills
b. Lockdown of hospital entrances
c. Prioritization of police response to bio-logical events
d. Simulating decontamination processes
e. Setting up the command center
B, D, E
Having comprehensive all-hazards preparedness plans requires frequent (at least biannual) drills to work through problems. Internal drills test specific department and/or hospital responses (e.g., setting up and operating the command center; recognizing a biological event both in the emer-gency department and on the units; lockdown of the hospital entrances; simulating decontamina-tion processes; operating using downtime procedures during a communications or cyber disaster event; handling various surge capacity situations).
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A patient taking antiinflammatory drugs tells the nurse he has been missing some of his doses of medication. Which guidelines for missed medications should be taught? (Select all that apply.)
a. Skip all missed medication dosages. b. If possible, take the missed dose within an hour of the scheduled time. c. If the missed dose is close to the next administration time, take the regular dose and skip the missed dose. d. Never take a double dose of this medication. e. Once you have missed a dose, just discontinue the medication because it will no longer be effective.
Which advanced practice role uses comprehensive assessment, clinical reasoning, and differential diagnosis?
1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse-anesthetist
A subcutaneous pain pump is used for a client with a hip replacement surgery. Which statement by the client during the first 24 hours after the surgery requires additional assessment by the nurse?
1. "I feel numbness all the way down to my ankle.". 2. "I feel sleepy when I push my PCA (patient control analgesia) button.". 3. "I cannot believe how good I feel when I get up; I expected more pain.". 4. "I will need to use a toe-touch method even if there is no pain present.".
When a nurse works in a health care agency that charts by exception (CBE), he or she knows that the patient assessment is structured by what?
A) Medical diagnoses B) Patient needs C) Standardized norms D) Joint Commission standards