The nurse is a member of a committee designing the hospital's emergency incident command system. Which of the following are the four components of the committee's design? (Select all that apply.)
1. Relief support
2. Staffing
3. Planning
4. Operations
5. Logistics
6. Finance
3, 4, 5, 6
The hospital emergency incident command system has four components: 1) finance, 2) logistics, 3) operations, and 4) planning. Relief support and staffing are not parts of the hospital emergency incident command system.
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Four hours after the delivery of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?
a. Start an intravenous line with D5W b. Notify the clinician stat c. Document the event in the nurses' notes d. Test for blood glucose level
A 32-year-old male construction worker presents to the emergency department with complaints of headache, abdominal cramps, nausea, lightheadedness, and extreme fatigue. The patient states he started feeling ill while at the job site
The nurse gathers the following data: T = 99.8°F, P = 96, RR = 36, and BP = 136/72. The patient's skin is cold and clammy, and the patient is having difficulty answering questions. He tells the nurse that he is "never sick," takes no medicines, and has never been in the hospital. What additional information would be most useful in determining whether he is experiencing heat exhaustion (hyperthermia)? 1) Past medical and surgical history 2) Immunization history 3) Dietary intake for the past 24 hours 4) Environmental temperature
A patient provides the nurse with a list of current medications and adds that he takes glucosamine every day. This information would be helpful for the nurse to document in which part of the health history?
1. Past medical history 2. Chief complaint 3. Social history 4. Biographical data
The nurse is reviewing care of clients on a mother-baby unit. Which situation should be reported to the supervisor?
1. A 2-day-old infant has breastfed every 3 hours and voided four times. 2. An infant was placed in the wrong crib after examination by the physician. 3. The client who delivered by cesarean birth yesterday received oral narcotics. 4. A primiparous client who delivered today is requesting discharge within 24 hours.