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?

Provide informational updates to members of the media.

Determine the acuity and number of casualties arriving at the facility.

Assist in discharging stable clients to home.

Delegate tasks to emergency health care specialists

Answer and Explanation

The Correct Answer is B

Determine the acuity and number of casualties arriving at the facility

During a mass casualty event, the nurse working on a medical-surgical unit can anticipate being assigned the task of determining the acuity and number of casualties arriving at the healthcare facility. This involves assessing the severity of injuries and prioritizing care based on the level of urgency. The nurse will be responsible for triaging and assigning appropriate resources to each patient based on their condition.

Provide informational updates to members of the media. In (option A) is incorrect. While communication and coordination with the media may be necessary during a mass casualty event, this is typically handled by designated spokespersons or hospital administration. Nurses are primarily focused on providing direct patient care and managing the influx of patients.

Assist in discharging stable clients to home in (option C) is incorrect. During a mass casualty event, the focus is on providing care to the injured and managing the influx of casualties. Discharging stable clients to home would not be a priority task during such an event.

Delegate tasks to emergency healthcare specialists in (option D) is incorrect. Nurses may collaborate with emergency healthcare specialists during a mass casualty event, but they usually take on leadership roles in coordinating and providing direct care. Nurses are responsible for assigning tasks and coordinating the efforts of the healthcare team, including specialists, to ensure effective care delivery.

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Correct Answer is D

Explanation

This response acknowledges the son's exhaustion and offers a constructive solution by suggesting respite care. Respite care provides temporary relief to caregivers by arranging for someone else to take over caregiving responsibilities for a specific period of time. It allows caregivers to have a break and take care of their own physical and emotional well-being. By providing information about respite care, the nurse is offering support and resources to help alleviate the son's fatigue while ensuring that the mother's care needs are still met.

A. Decreased skin turgor B. Crackles heard in the lungs C. Weight loss D. Decreased blood pressure

Correct Answer is B

Explanation

Crackles heard in the lungs.

Fluid overload occurs when there is an excessive accumulation of fluid in the body, and it can occur in clients receiving enteral tube feedings. Crackles heard in the lungs, also known as rales, are abnormal lung sounds that can indicate the presence of fluid in the lungs. These crackling sounds occur when there is an excess of fluid in the alveoli or when air passes through fluid- filled airways. Crackles can be heard during auscultation of the lungs using a stethoscope and are a significant sign of fluid overload.

decreased skin turgor in (option A) is incorrect because it, is a sign of dehydration rather than fluid overload. Decreased skin turgor occurs when the skin lacks elasticity and is often seen in clients who are dehydrated.

weight loss in (option C) is incorrect because it, is not typically associated with fluid overload. Fluid overload usually results in weight gain or fluid retention rather than weight loss.

decreased blood pressure in (option D) is incorrect because it, is more commonly associated with hypovolemia or fluid deficit rather than fluid overload. In fluid overload, blood pressure may be elevated due to increased fluid volume.

In summary, crackles heard in the lungs are a manifestation of fluid overload and can be a significant sign for the nurse to assess and address in a client receiving enteral tube feedings.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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