A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?

Office of Emergency Management (OEM)

Federal Emergency Management Agency (FEMA)

American Red Cross (ARC)

U.S. Department of Homeland Security (DHS)

Answer and Explanation

The Correct Answer is A

Choice A reason: Office of Emergency Management (OEM)

The Office of Emergency Management (OEM) is typically the first agency to be notified in the event of a nonbiological or chemical incident. The OEM coordinates the local response efforts and ensures that all necessary resources and personnel are mobilized. They work closely with other local, state, and federal agencies to manage the incident effectively. The OEM’s role includes assessing the situation, providing information to the public, and coordinating evacuation or shelter-in-place orders if necessary.

Choice B reason: Federal Emergency Management Agency (FEMA)

The Federal Emergency Management Agency (FEMA) plays a crucial role in disaster response and recovery at the federal level. However, they are usually involved after the initial local response has been established. FEMA provides support and resources to local and state agencies, but the immediate notification should go to the local Office of Emergency Management.

Choice C reason: American Red Cross (ARC)

The American Red Cross (ARC) is a vital organization in disaster response, providing emergency shelter, food, and medical care. While they are an essential part of the response team, they are not typically the first agency to be notified. The ARC works in coordination with local emergency management agencies to support the affected community.

Choice D reason: U.S. Department of Homeland Security (DHS)

The U.S. Department of Homeland Security (DHS) oversees national efforts to protect against and respond to various threats, including chemical incidents. However, like FEMA, DHS is generally involved at a higher level of coordination and support. The immediate response is managed by local agencies, with DHS providing additional resources and expertise as needed

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Correct Answer is B

Explanation

Choice A reason: Smallpox

Smallpox is a viral disease caused by the variola virus. It was eradicated globally in 1980 through a successful vaccination campaign. Treatment for smallpox primarily involves supportive care and antiviral medications, such as tecovirimat, rather than antibiotics like ciprofloxacin. Ciprofloxacin is ineffective against viral infections, including smallpox.

Choice B reason: Anthrax

Anthrax is a serious infectious disease caused by the bacterium Bacillus anthracis. Ciprofloxacin is one of the primary antibiotics used for the treatment and post-exposure prophylaxis of anthrax. It works by inhibiting bacterial DNA gyrase, which is essential for bacterial replication. Ciprofloxacin is effective against both cutaneous and inhalational forms of anthrax, making it a critical component in the management of anthrax exposure.

Choice C reason: Ebola virus

Ebola virus disease (EVD) is caused by the Ebola virus, a member of the Filoviridae family. Treatment for EVD primarily involves supportive care, including rehydration and management of symptoms. Antiviral medications, such as remdesivir, may also be used. Ciprofloxacin, being an antibiotic, is not effective against viral infections like Ebola.

Choice D reason: Sarin gas

Sarin gas is a highly toxic nerve agent used in chemical warfare. Exposure to sarin gas requires immediate medical intervention, including the administration of antidotes such as atropine and pralidoxime, as well as supportive care. Antibiotics like ciprofloxacin are not used in the treatment of chemical agent exposure, as they do not counteract the effects of nerve agents.

A. Relapse is an indication that you are not taking your medications properly. B. You should keep your provider’s and therapist’s number with you. C. Taking an additional dose of medication is appropriate as soon as signs of relapse appear. D. You should be aware that excessive sleeping is an early sign of relapse.

Correct Answer is B

Explanation

Choice A reason: Relapse is an Indication that You Are Not Taking Your Medications Properly

This statement is not entirely accurate. While non-adherence to medication can be a factor in relapse, it is not the only cause. Schizophrenia is a complex condition, and relapses can occur even when medications are taken as prescribed. Stress, changes in routine, and other factors can also contribute to a relapse.

Choice B reason: You Should Keep Your Provider’s and Therapist’s Number with You

This statement indicates an understanding of the importance of having immediate access to professional help. Keeping contact information for healthcare providers and therapists readily available ensures that the client can quickly reach out for support if they notice early signs of relapse. This proactive approach can help manage symptoms before they escalate.

Choice C reason: Taking an Additional Dose of Medication is Appropriate as Soon as Signs of Relapse Appear

This statement is incorrect. Clients should not adjust their medication dosage without consulting their healthcare provider. Taking an additional dose can lead to adverse effects and may not address the underlying issue. It is crucial to follow the prescribed treatment plan and seek professional advice if symptoms worsen.

Choice D reason: You Should Be Aware that Excessive Sleeping is an Early Sign of Relapse

Excessive sleeping is not typically an early sign of schizophrenia relapse. Common early warning signs include insomnia, social withdrawal, difficulty concentrating, and increased paranoia. While changes in sleep patterns can be a symptom, it is more important to recognize the specific signs that have previously indicated a relapse for the individual.

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A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?

Correct Answer is B

Explanation

A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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