Chapter 13. Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response

Chapter 13. Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?

____     2.   The physician orders haloperidol (Haldol) 2 mg intramuscularly (IM) for a patient who is experiencing a psychiatric crisis. Haldol 5 mg/mL is available. How many milliliters should the nurse give?

____     3.   The nurse is preparing teaching for the home treatment of ingested poisons. Which medication is no longer recommended for use at home to induce vomiting for certain ingested poisons?

____     4.   A patient with a head injury is diagnosed with increased intracranial pressure. In which position should the nurse maintain the patient’s head to assist in reducing intracranial pressure?

____     5.   A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?

MULTIPLE CHOICE

1. ANS:  D

Partial-thickness burns that involve a small area are cleaned with sterile saline solution, covered with a 1/8-inch layer of an anti-infective cream such as silver sulfadiazine (Silvadene, Flamazine), and covered with dry bulky, fluffed dressings. A. Because the skin can no longer protect the patient, wet dressings provide a medium for bacterial invasion. Wet dressings can also cause a decrease in body temperature because the skin can no longer maintain thermoregulation. B. Deep partial-thickness burns should be covered with dry dressings. C. Over-the-counter lotions are never used on a major burn because they can promote infection, retain heat, and cause more pain.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

2. ANS:  B

Using the equation Dosage Required/Dosage Available x mL, the nurse should calculate 2 mg/5 mg ´ 1 mL = 2/5 ´ 1 = 0.4 mL.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application

3. ANS:  A

Syrup of ipecac is no longer recommended for at-home treatment of accidental overdose, and evidence shows use of ipecac does not improve patient outcomes. B. Cimetidine (Tagamet) is a medication used for gastric irritation. C. Thiethylperazine (Torecan) is a phenothiazine with antiemetic properties. Prochlorperazine (Compazine) is a medication used for nausea and vomiting.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application

4. ANS:  B

Maintaining the patient’s head position at midline ensures unobstructed venous drainage to help reduce ICP. A. C. D. These positions could obstruct venous drainage and increase ICP.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

5. ANS:  B

An ingested substance that is corrosive can cause esophageal burns if vomiting occurs as it travels back up the esophagus. A. Corrosive substances are not directly linked to the development of coma. C. Chemical pneumonia is more likely to develop after an inhalation of a poisonous substance. D. Aspiration pneumonia is more likely to occur if the patient is unable to control or maintain the airway.

PTS:     1          DIF:     Moderate