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 ["A","C","D"]

Explanation

A.The client's complaint of upper chest discomfort and coughing up thick clear sputum suggests a potential respiratory issue. Checking oxygen saturation is crucial to assess for possible respiratory distress or hypoxia.

B.Tremors are a chronic symptom associated with Parkinson's disease in this client. While monitoring tremors is important for assessing Parkinson's disease management, they are not an acute issue requiring immediate follow-up in this scenario.

C.Coughing up thick clear sputum and upper chest discomfort indicate potential respiratory distress or infection. Monitoring the respiratory rate helps assess the severity of respiratory distress or compromise.

D.Heart rate is a vital sign that can indicate cardiovascular status and response to the client's reported symptoms of feeling bad. Elevated heart rate may indicate stress, pain, or cardiac involvement.

E.The client is reported as alert and oriented to self. While changes in level of consciousness are always important to monitor, the client's current alert and oriented state suggests no immediate acute change.

F.Chronic health conditions such as Parkinson's disease and anxiety are part of the client's history but are not acute findings that require immediate follow-up compared to the acute symptoms of upper chest discomfort and respiratory distress reported.

A. Catatonia B. Acute onset of confusion C. Memory loss that disrupts ADLs D. Illusions

Correct Answer is C

Explanation

Dementia is characterized by progressive memory impairment, including difficulty remembering recent events, names, and familiar faces. This memory loss can significantly impact the client's ability to perform daily tasks independently.

While dementia is typically a chronic and progressive condition, it is not uncommon for individuals with dementia to experience acute episodes of confusion, often referred to as "sundowning." These episodes tend to occur in the late afternoon or evening and can involve increased agitation, restlessness, and disorientation.

Illusions are perceptual distortions where a person misinterprets real sensory stimuli. In dementia, individuals may experience illusions, such as mistaking a coat hanging on a door for a person or misinterpreting shadows as threatening figures.

Catatonia, characterized by immobility and unresponsiveness, is not typically associated with dementia. It is more commonly seen in conditions such as schizophrenia or certain neurological disorders.

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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

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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