A nursing administrator is reviewing a hospital's disaster planning. The administrator evaluates the plan that addresses which component as being the best?
a. Internal disasters such as fires or power outages
b. All possible catastrophes in the community
c. The Joint Commission's assessment of possible disasters
d. Responses to all types of weather-related emergencies
B
When The Joint Commission–accredited health care facilities are planning disaster preparedness programs, they need to take an "all-hazards approach" (versus planning by strict guidelines) and to plan for all credible threats to the community that could result in a disaster. This means plan-ning for all events that could conceivably happen in that geographic area, including possible weather events. Planning only for internal disasters is too limited and does not account for weather- or terrorist-related threats. The Joint Commission does not assess what disasters are possible in the areas that accredited hospitals serve.
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A) Isoproterenol B) Dopamine C) Phenylephrine D) Ephedrine
Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)?
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The nurse is caring for a client who is in active labor and has just had an amniotomy. The nurse notes that the fetal heart rate has decreased from 140 bpm immediately prior to the amniotomy to 95 bpm. Upon vaginal examination, the nurse feels a portion of the umbilical cord in the vagina. Which is the nurse's next action in caring for this client?
A. Carefully push the umbilical cord back into the vagina with a sterile gauze. B. Immediately place the client in reverse Trendelenburg and prepare to move the client to the operating room for a caesarean section. C. Assist the client to the knee-chest position and notify the healthcare provider. D. Place oxygen on the client at 2 L/min per nasal cannula and turn the client to the left side.
The nurse is checking the patient's overall oxygenation. In assessment of the presence of central cyanosis, which of the following areas will the nurse inspect?
a. The patient's palms and soles of the feet b. The patient's nail beds c. The patient's earlobes d. The patient's tongue