A community health nurse learns of a disaster in a neighboring community. Which of the following organizations should the nurse contact to offer assistance?
County health department
Emergency operations center
Local medical facility
Area police department
The Correct Answer is B
Rationale:
A. County health department: While the health department may be involved in managing public health concerns during a disaster, it is not the central coordinating body for disaster response efforts. The nurse would be redirected to contact the appropriate emergency management authority.
B. Emergency operations center: The Emergency Operations Center (EOC) coordinates disaster response and recovery efforts. It serves as the command center for organizing resources, personnel, and communication during emergencies, making it the most appropriate contact point.
C. Local medical facility: A local hospital or clinic may be involved in providing care during a disaster, but it does not coordinate external response offers. These facilities typically receive instructions and support from the EOC rather than organizing broad community responses.
D. Area police department: Law enforcement manages safety, crowd control, and security during disasters, but it is not responsible for coordinating volunteer or medical response offers. The police would likely refer the nurse to the EOC or public health emergency services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Decreased bilirubin: A drop in bilirubin may indicate resolving liver dysfunction. In sepsis, increased bilirubin would be more concerning due to hepatic injury or dysfunction.
B. Increased INR: An elevated INR reflects impaired coagulation and possible liver dysfunction or disseminated intravascular coagulation (DIC), both of which signal worsening sepsis and a high risk of bleeding complications.
C. Increased platelet count: An elevated platelet count typically reflects recovery or inflammation, not deterioration. A decreased platelet count would be more concerning in sepsis due to DIC.
D. Decreased serum creatinine level: Lower creatinine levels are not indicative of deterioration. In sepsis, increased creatinine would signal worsening renal perfusion or acute kidney injury.
Correct Answer is B
Explanation
Rationale:
A. "You can loosen the pins on the device for comfort." The pins of a halo fixation device must remain firmly secured at all times. Loosening them can destabilize cervical alignment and significantly increase the risk of spinal injury or complications.
B. "You should wrap the pins with cloth in cold weather." The metal components of the halo device can become very cold and cause skin injury or discomfort. Wrapping the pins with cloth provides insulation and protects the skin from cold-related damage.
C. "You can remove the device at night for sleep." The halo device must be worn continuously, including during sleep, to maintain cervical immobilization. Removing it compromises spinal stability and can result in serious harm.
D. "You should only drive during daylight hours." Clients with a halo device are generally advised not to drive at all due to restricted head movement and limited field of vision, regardless of the time of day.
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