A hurricane levels several homes and businesses in a small southwestern community. At which point should the nurse expect to become involved in the care of those affected by the storm?

1. Immediately when the storm ends
2. Once a state of emergency is declared
3. It depends upon where the nurse lives
4. When victims are brought to the hospital


4

Rationale 1: Local government provides "first responders.".

Rationale 2: State and federal government become involved if the incident is large enough.

Rationale 3: The nurse's home is not a variable in this situation.

Rationale 4: Hospitals are the last link in community response to a mass casualty incident (MCI). Hospitals receive the most seriously injured and ill casualties.

Global Rationale: Hospitals are the last link in community response to a mass casualty incident (MCI). Hospitals receive the most seriously injured and ill casualties. Local government provides "first responders.". State and federal government become involved if the incident is large enough. The nurse's home is not a variable in this situation.

Nursing

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You are discharging a patient home after supratentorial removal of a pituitary mass. What medication would you expect to have ordered prophylactically for this patient?

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The nurse, who has worked for 8 years on an adult medical?surgical unit, is transferring to become an emergency room nurse

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When performing a surgical dressing change of a client's abdominal dressing, the nurse notes an increase in the amount of drainage and separation of the incision line. The underlying tissue is visible to the nurse

The priority nursing action at this time is to: 1. Apply a povidone-iodine (Betadine)–soaked sterile dressing. 2. Leave the incision exposed to the air to dry the area. 3. Apply a sterile dressing soaked with normal saline. 4. Irrigate the wound, and apply a dry sterile dressing.

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A 5-year-old male presents to the ER with delirium and sunken eyes. After diagnosing him with severe dehydration, the primary care provider orders fluid replacement

The nurse administers a hypertonic intravenous solution. Which of the following would be ex-pected? a. Symptoms subside quickly b. Increased ICF volume c. Decreased ECF volume d. Intracellular dehydration

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