A train made up of railroad cars filled with toxic chemicals and a full school bus with 90 children on board collide in a populated area. A huge explosion occurs and a fire develops in a nearby factory
Which approach to care should be used to care for these victims?
1. emergency; use conventional triage
2. emergency; evacuate all ambulatory patients first
3. disaster; employ reverse triage
4. disaster; evacuate critically injured patients first
Correct Answer: 3
A mass-casualty event with more than 100 victims is a disaster requiring the institution of reverse triage. Reverse triage works on the principle of the greatest good for the greatest number. Conventional triage is limited to normal circumstances or when there are only a few victims. In conventional triage, patients requiring the most support are transported first.
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An elder client is being prepared for transfer to a long-term care facility and expresses sorrow at not being able to return to his own home. The nurse can best help the client cope with this change by:
A) explaining why it is necessary to move to the new facility. B) explaining why it would be unsafe to remain in his own home. C) showing him pictures of the new facility. D) asking him to tell you about significant events in his life.
Which prescribed formula should the nurse plan to provide for an infant with lactose intolerance?
a. Isomil b. Enfamil c. Similac d. Good Start
The primary care NP administers penicillin G (Bicillin) to a 75-year-old patient who has COPD and heart failure. The patient takes digoxin, warfarin, and spironolactone. To help prevent drug interactions, the NP should order:
a. serum electrolytes. b. coagulation studies. c. creatinine clearance. d. liver transaminases aspartate aminotransferase and alanine aminotransferase.
A number of factors influence a patient's personal preferences for hygiene. Because of this, it is important for the nurse to realize that
a. No two individuals perform hygiene in the same manner. b. It is important to standardize a patient's hygienic practices. c. Hygiene care is always routine and expected. d. Hygiene is not the time to learn about patient needs.