Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane?
a. "Rescue the victims.".
b. "Plan to prevent such disasters.".
c. "Give immediate first aid and medical care to the victims.".
d. "Evacuate the injured to medical facili-ties.".
B
Although all of the options are important, the most important aspect of any disaster management is to have a plan of prevention in place. Disaster prevention can eliminate or reduce tremendous pain, suffering, and loss of life that could occur if, for example, people were not evacuated from a coastal area before a hurricane. Having a plan in place sets the procedures for rescuing victims, evacuating facilities, and administering first aid and medical care. The National Incident Man-agement System (NIMS) provides a consistent nationwide template to establish federal, state, tribal, and local governments and private sector and nongovernmental organizations to work to-gether effectively and efficiently to prepare for, prevent, respond to, and recover from domestic incidents, regardless of cause, size, or complexity, including acts of catastrophic terrorism. NIMS benefits include a unified approach to incident management; standard command and management structures; and emphasis on preparedness, mutual aid, and resource management.
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The charge nurse has received the shift change report. Which client requires immediate intervention?
1. Woman at 6 cm undergoing induction of labor, strong contractions every 3 minutes 2. Woman at 4 cm whose fetus is in a longitudinal lie with a cephalic presentation 3. Woman at 10 cm and fetus at +2 station experiencing a strong expulsion urge 4. Woman at 3 cm screaming in fear because her mother died during childbirth
An infant has had surgery to correct a congenital heart defect. The physician placed a chest tube in the infant. The nurse should carry out which of the following interventions to maintain the integrity of the tubes:
a. Maintain the bottles above the level of the chest b. Keep rubber-shod Kelly clamps available at all times c. Have a sterile gauze dressing available to place over the site if the tube is removed d. Do not allow the infant to be transported until the tubes are removed
The Nursing Interventions Classification (NIC) first published in 1992 consists of:
a. a list of general nursing interventions b. a listing of specific nursing interventions for specific diseases c. four categories of nursing interventions d. those interventions done only by nurses for specific diseases
A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?
a. Intrapersonal b. Interpersonal c. Transpersonal d. Multipersonal