A nurse working on a medical-surgical unit is notified about a mass casualty event that recently took place in the community.
Which of the following assignments should the nurse anticipate?
Assist in discharging stable clients to home.
Determine the acuity and number of casualties arriving at the facility.
Delegate tasks to emergency health care specialists.
Provide informational updates to members of the media.
The Correct Answer is B
Choice A rationale:
Assisting in discharging stable clients to home is not the most appropriate assignment when a mass casualty event has occurred. During such events, resources are needed for critically injured patients, and stable clients can typically be discharged by non-emergency staff.
Choice B rationale:
Determining the acuity and number of casualties arriving at the facility is the most appropriate assignment during a mass casualty event. This information is critical for allocating resources and providing the necessary level of care to those affected.
Choice C rationale:
Delegating tasks to emergency healthcare specialists may be necessary, but it is not the initial assignment for the nurse working on a medical-surgical unit. Assessing the situation and determining the acuity of incoming casualties take precedence.
Choice D rationale:
Providing informational updates to members of the media is not the role of a nurse during a mass casualty event. This task should be handled by hospital public relations or designated spokespersons to ensure accurate and controlled information dissemination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Ketonuria is not a common complication of diabetes insipidus. Ketonuria is associated with diabetes mellitus, a different condition that results in the accumulation of ketones in the urine due to insufficient insulin.
Choice B rationale:
Peripheral edema is also an unlikely complication of diabetes insipidus. Diabetes insipidus is characterized by excessive thirst and urination, not fluid retention or peripheral edema.
Correct Answer is A
Explanation
Choice A rationale:
The contraindication for administering clonidine in this scenario is hypertension. Clonidine is an antihypertensive medication and can lower blood pressure. If the client has hypertension, giving clonidine could exacerbate the problem and cause further reduction in blood pressure, potentially leading to complications.
Choice B rationale:
An apical heart rate of 72 beats/minute is within the normal range for adults and is not a contraindication for administering clonidine. Clonidine primarily affects blood pressure and should be used cautiously in clients with hypertension, but it does not directly impact heart rate.
Choice C rationale:
Muscle weakness is not a contraindication for administering clonidine. Clonidine is not known to cause muscle weakness as a side effect. It primarily affects blood pressure regulation.
Choice D rationale:
A blood pressure of 90/76 mm Hg is lower than the normal range for blood pressure, but it is not a contraindication for administering clonidine. In fact, clonidine is often used to lower blood pressure in hypertensive individuals. However, in this scenario, the client's low blood pressure should be carefully monitored, and the nurse should consider adjusting the clonidine dose if necessary to avoid excessive hypotension.
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