The nurse is at the bedside of her 90-year-old patient, Ruth, who is comatose and on life support in the ICU, when she begins to feel the room shaking violently. The power suddenly fails and emergency generators have not started yet
The nurse provides bag-mask resuscitation for Ruth while she waits for the power to be restored. Moments later, the ICU is inundated with patients injured by the collapse of a nearby apartment building as a result of the earthquake. The nurse is called to help. Kevin has been impaled by a metal rod through the chest, is in a state of shock, and will die without immediate intervention. Gwyneth has compound fractures of the femur and a dislocated shoulder, is in pain, but is responsive. Mason is unconscious and unresponsive. Based on the START triage categories, whom should the nurse assist first in this situation?
A) Ruth
B) Kevin
C) Gwyneth
D) Mason
B
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Which statement indicates a need for further training?
1. ?As we go through this process, I think I need to be flexible but persistent.? 2. ?I must not get so bogged down in details that I lose focus on the ultimate goal.? 3. ?Those who are resistant will probably accept it sooner or later with my support.? 4. ?I think the implementation will go much better if I stay available the whole time.?
Which of the following would the nurse be least likely to assess in a 6-year-old with septic arthritis of the hip?
A) Moderate to severe pain of the affected hip B) Previous otitis media infection C) Refusal to straighten the affected extremity D) Full range of motion of the hip
Behaviors predictive of addiction to controlled substances include:
1. Stealing or borrowing another patient's drugs 2. Requiring increasing doses of opiates for pain associated with malignancy 3. Receiving refills of a Schedule II prescription on a regular basis 4. Requesting that only their own primary care provider prescribe for them
A nurse is reviewing laboratory results and discovers a magnesium level of 3.5 mg/dL. The patient complains of muscle weakness and paralysis. The patient has been receiving magnesium sulfate intravenously
The nurse should immediately prepare to administer which of the following medications? a. Potassium phosphate b. Magnesium chloride c. Calcium gluconate d. Bicarbonate