Upon arriving at a mass casualty scene, the health care providers will initiate triage by doing which of the following first?
A. Assess
B. Move
C. Sort
D. Send
B
B. The "move" phase also allows rescue workers to identify those individuals who can follow commands but may not be able to walk.
A. The second step of the triage process, "assess," allows rescue workers to focus on the remaining victims who are presumed more critically injured.
C. During the "assess" triage process personnel actually begin the "sort" task
D. The final step in the MASS triage system is "send." Rescue workers evacuate, transport, or release all living clients as soon as possible.
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The perinatal nurse is aware of changes in women's and children's health-care settings that affect family care. What factors do these changes include? (Select all that apply.)
A. A decreased pediatric patient population B. A redesign of policies to include families C. Development of alternative care sites D. Increased liberalization of visiting policies E. Increased patient acuity across all settings
You are helping care for your 89 year old grandmother who is sick with "the flu". Her temperature is 101.2. What other information would be most useful to better assess your grandmother's condition?
a. what her temperature was yesterday b. how long she has felt sick c. what her usual temperature is d. how much she ate today
The nurse is observing a patient learning to use crutches. Which observation would prompt the nurse to reinforce teaching about crutch walking?
1. The axillary crutches have been sized so they do not touch the patient's axilla. 2. The patient using axillary crutches places the weight on the palms of the hands when walking. 3. The cuff of the patient's forearm crutch fits just above the elbow. 4. The patient places only part of the weight on forearm crutches.
The patient at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?
1. The baby's hands and feet are blue at 1 minute after birth. 2. The fetal heart rate is 70 prior to making the skin incision. 3. Clear fluid is obtained from the baby's oropharynx. 4. The neonate cries prior to delivery of the body.