A public health nurse is preparing for a mass casualty incident. Which of the following tasks should the nurse complete during the planning phase of disaster management?

A. Recurrent UTI: Frequent urinary tract infections can be a sign of gestational diabetes mellitus (GDM) because hyperglycemia creates an environment conducive to bacterial growth. Recurrent infections may indicate impaired glucose regulation and warrant further screening for GDM.

B. Family history of type 2 diabetes mellitus: While a family history increases the client’s risk for developing GDM, it is not a direct indicator that the client currently has gestational diabetes. It is considered a risk factor rather than a presenting finding.

C. Heart rate is consistently between 55/min and 58/min: A slightly lower maternal heart rate is not indicative of gestational diabetes. Maternal bradycardia in this range is usually not related to glucose metabolism and may be influenced by other factors such as fitness level or medication use.

D. Reports decrease in urination frequency: Gestational diabetes typically causes polyuria rather than decreased urination. Reduced urination is not a characteristic finding associated with GDM and may suggest other renal or hydration issues instead.

A. "I will report equipment with three-prong electric plugs as a fire hazard.": Three-prong plugs are designed for safety, providing grounding to prevent electrical fires. Reporting them as hazards indicates a misunderstanding of proper electrical safety.

B. "If I see a fire, I should try to remove the client from the room first.": Ensuring client safety is the top priority during a fire. Removing clients from immediate danger follows the first step of the RACE protocol (Rescue, Alarm, Contain, Extinguish), demonstrating correct understanding of fire response.

C. "I should place equipment in front of the emergency exit to prop it open.": Blocking emergency exits is a serious fire safety violation. Exits must remain clear at all times to allow rapid evacuation.

D. "I should sweep the fire extinguisher from side to side before squeezing the handle.": The correct sequence is to pull the pin, aim at the base of the fire, squeeze the handle, and then sweep side to side. Sweeping before squeezing would render the extinguisher ineffective.