Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
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Chapter 73 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13e Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse manager in the ED receives information that a local chemical plant has had a chemical leak. This disaster is assigned a status of level II. What does this classification indicate? | |
| A) | First responders can manage the situation. | |
| B) | Regional efforts and aid from surrounding communities can manage the situation. | |
| C) | Statewide or federal assistance is required. | |
| D) | The area must be evacuated immediately. | |
| Ans: | B | |
| Feedback: | ||
| Level II disasters indicate that regional efforts and aid from the surrounding communities will be able to manage the situation. Local efforts are likely to be overwhelmed, while state and federal assistance are not likely necessary. The disaster level does not indicate the necessity of evacuation. | ||
| 2. | A workplace explosion has left a 40-year-old man burned over 65% of his body. His burns are second- and third-degree burns, but he is conscious. How would this person be triaged? | |
| A) | Green | |
| B) | Yellow | |
| C) | Red | |
| D) | Black | |
| Ans: | D | |
| Feedback: | ||
| The purpose of triaging in a disaster is to do the greatest good for the greatest number of people. The patient would be triaged as black due to the unlikelihood of survival. Persons triaged as green, yellow, or red have a higher chance of recovery. | ||
| 3. | A patient has been witness to a disaster involving a large number of injuries. The patient appears upset, but states that he feels capable of dealing with his emotions. What is the nurse’s most appropriate intervention? | |
| A) | Educate the patient about the potential harm in denying his emotions. | |
| B) | Refer the patient to social work or spiritual care. | |
| C) | Encourage the patient to take a leave of absence from his job to facilitate emotional healing. | |
| D) | Encourage the patient to return to normal social roles when appropriate. | |
| Ans: | D | |
| Feedback: | ||
| The patient should be encouraged to return to normal social roles when appropriate if he is confident and genuine about his ability to cope. The nurse should use active listening to the patient’s concerns and emotions to enable the patient to process the situation. The patient is not necessarily being unrealistic or dishonest. As a result, social work or spiritual care may not be needed. Time away from work may not be required. | ||
| 4. | A nurse is caring for patients exposed to a terrorist attack involving chemicals. The nurse has been advised that personal protective equipment must be worn in order to give the highest level of respiratory protection with a lesser level of skin and eye protection. What level protection is this considered? | |
| A) | Level A | |
| B) | Level B | |
| C) | Level C | |
| D) | Level D | |
| Ans: | B | |
| Feedback: | ||
| Level B personal protective equipment provides the highest level of respiratory protection, with a lesser level of skin and eye protection. Level A provides the highest level of respiratory, mucous membrane, skin, and eye protection. Level C incorporates the use of an air-purified respirator, a chemical resistant coverall with splash hood, chemical resistant gloves, and boots. Level D is the same as a work uniform. | ||
| 5. | A patient who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments? | |
| A) | Integumentary assessment | |
| B) | Assessment for signs of hemorrhage | |
| C) | Neurologic assessment | |
| D) | Assessment of respiratory status | |
| Ans: | D | |
| Feedback: | ||
| The second stage of anthrax infection by inhalation includes severe respiratory distress, including stridor, cyanosis, hypoxia, diaphoresis, hypotension, and shock. The first stage includes flu-like symptoms. The second stage of infection by inhalation does not include headache, vomiting, or syncope. | ||
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