. In an earthquake, the roads and underground pipes were all destroyed. Fires and explosions began to occur from the broken leaking gas lines. In this case, what would the fires be called?
A. A man-made disaster
B. The cause of the earthquake
C. The primary agent
D. The secondary agent
ANS: D
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The nursing care plan of a patient who is in the acute/immediate phase of burn care identifies a nursing diagnosis of Risk for Infection due to burns. What intervention should be prioritized in response to this diagnosis?
A) Intravenous administration of broad-spectrum, prophylactic antibiotics B) Vigilant application of infection-control precautions such as gloves, gowns, and masks C) Administration of oral prophylactic antibiotics D) Regular disinfecting of the patient's intact skin and the immediate bedside environment
Leadership structures in health care can be centralized or decentralized. The nurse understands that she is working in a centralized structured environment when which of the following occurs?
a. All organizational decisions must be approved by the CEO. b. Changes can be made rapidly based on immediate needs. c. Nurses must work under a dual-authority structure. d. Decisions can be made at the "point of care.".
Which action(s) can the nurse take during report to ensure patient safety? (Select all that apply.)
a. Give report at the bedside. b. Give report while the nurse is finishing up charting on another patient, so that the new nurse doesn't have to wait. c. Use I-SBAR-R during shift change report. d. Focus on giving report, not on answering telephones. e. Be prepared for report.
The nurse is interviewing a new patient in the clinic. The patient is premenopausal, but is concerned about the bone changes and osteoporosis that can occur, since she is getting close to menopause
The nurse tells the patient that prevention is the primary goal. A primary goal for prevention would be: 1. Eliminating all alcohol intake. 2. Taking 500 mg of calcium each day. 3. Use of sunscreen to assist with absorption of vitamin D. 4. Regular weight-bearing and muscle-strengthening exercises.