The Emergency Department charge nurse receives a call from the emergency medical technicians that there is a train accident with numerous injured clients. Which of the following would the charge nurse do first?
1. Call the nursing supervisor to obtain more nursing staff.
2. Prepare triage rooms to admit the victims.
3. Alert other departments of the possible need for added services.
4. Activate the agency disaster plan.
4
Rationale 1: Every agency is required to have internal and external disaster plans. The charge nurse's first responsibility is to activate the disaster plan. The other options are components of the disaster plan, and will be delegated by the command center.
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To avoid stimulation of painful muscle spasms, the nurse will:
a. grasp the muscle firmly when moving the patient. b. use palms of hands to support joints when moving the patient. c. log roll the patient as a unit. d. perform passive range of motion (ROM).
A physician writes an order that the registered nurse believes will harm the patient. She views the physician as incompetent. Which of the following is the most appropriate action for the nurse?
a. She should follow the order anyway because the physician's education is superior to hers. b. She should pursue the chain of authority. If the supervisor and others support the physician, she should follow the order. c. After pursuing the issue with the physician and her superiors, she should disobey all orders that she believes are illegal, immoral, or incompetent. d. If she is forced to follow the order, she should file a formal complaint against the physician.
Which of the following types of observation is the most narrow and highly focused?
A) Descriptive observation B) Selective observation C) Reflective observation D) Focused observation
A nurse is discussing health maintenance with the parent of a newborn infant. Which statement by the parent indicates understanding of ways to reduce the incidence of otitis media?
a. "I should hold my baby in an upright position during feeding." b. "I should keep my baby out of day care during cold and flu season." c. "My baby should not use a pacifier after 6 months of age." d. "The pneumococcal vaccine will prevent my baby from getting ear infections."