A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Respond to family members about a client's condition.
Determine which clients should be seen first.
Clean and dress client abdominal wounds.
Take vital signs on clients as they are admitted.
The Correct Answer is D
Choice A reason: Responding to family requires clinical judgment and communication skills beyond AP scope. Nurses handle this in mass casualty for accuracy.
Choice B reason: Triage prioritization needs nursing assessment skills, not AP training. Determining care order is a licensed responsibility in emergencies like this.
Choice C reason: Cleaning and dressing wounds involves sterile technique and assessment, outside AP scope. Nurses perform this in mass casualty settings.
Choice D reason: Taking vital signs is within AP scope, providing data for nurse triage. It’s a routine task, safely assigned in a mass casualty event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Fluconazole treats fungal infections, not RSV, a viral respiratory illness. Antivirals like ribavirin might apply, but antifungals don’t. Scientifically, this mismatches RSV’s etiology, as it’s a paramyxovirus, rendering fluconazole ineffective and irrelevant for managing this preschooler’s condition.
Choice B reason: Monitoring urine for protein assesses kidney function, unrelated to RSV, which affects lungs. Proteinuria isn’t a typical RSV sign. Scientifically, this lacks relevance, as RSV causes respiratory distress, not renal complications, making it an unnecessary action here.
Choice C reason: An X-ray of the neck targets croup or epiglottitis, not RSV, which affects lower airways. RSV needs chest imaging if severe. Scientifically, neck imaging misaligns with RSV’s pathophysiology, wasting resources when lung assessment is more pertinent.
Choice D reason: Droplet precautions prevent RSV spread via respiratory droplets, critical in preschoolers who aerosolize virus easily. Scientifically, this aligns with infection control, as RSV’s high contagiousness requires masks and isolation to protect others, a primary nursing action per guidelines.
Correct Answer is C
Explanation
Choice A reason: Droplet precautions need a mask, not always gown and gloves, unless contact is likely. Scientifically, this overstates requirements, as droplet spread (e.g., flu) prioritizes respiratory protection, indicating partial misunderstanding of PPE specifics.
Choice B reason: Bleach at 1:20 is too dilute; 1:10 is standard for blood spills. Scientifically, this weakens disinfection, as higher chlorine concentration kills pathogens like hepatitis, showing incorrect grasp of spill management protocols.
Choice C reason: Biohazard disposal for soiled dressings prevents pathogen spread, aligning with infection control. Scientifically, this ensures safe waste handling, as dressings may harbor bacteria or viruses, reflecting accurate understanding of standard precautions.
Choice D reason: Alcohol doesn’t kill C. difficile spores; soap and water are required. Scientifically, this misapplies hand hygiene, as spore-forming bacteria resist alcohol, indicating a key error in infection control knowledge for this pathogen.
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