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 A
Choice A rationale: In a mass casualty event, the hospital must rapidly create capacity for incoming victims. Discharging stable clients who no longer require acute care is a primary nursing responsibility to free up beds and resources.
Choice B rationale: Determining the acuity and number of incoming casualties is typically the role of a triage officer or the incident commander at the scene or hospital entrance, not a floor nurse on a medical-surgical unit.
Choice C rationale: Delegating tasks to specialists or coordinating the overall medical response is the responsibility of the medical director or the designated leader in the Hospital Incident Command System (HICS), not the staff nurse.
Choice D rationale: Communication with the media is strictly handled by the Public Information Officer (PIO) to ensure accuracy and maintain client confidentiality. Staff nurses are prohibited from providing unauthorized updates to external media outlets.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Ensure that the call bell is easily accessible to the client.
Choice A rationale:
Reassuring the client that someone will check on him hourly is supportive but does not directly address the immediate need for the client to call for assistance if he needs to use the bathroom during the night.
Choice B rationale:
Placing fresh water and a glass within reach is helpful for hydration but may increase the need to urinate, which could exacerbate the issue of urinary frequency at night.
Choice C rationale:
Ensuring that the call bell is easily accessible allows the client to quickly and safely request assistance if he needs to use the bathroom, reducing the risk of falls and ensuring timely help.
Choice D rationale:
Offering an evening snack before providing oral care is a good practice for comfort and nutrition but does not directly address the issue of urinary frequency or the need for nighttime assistance.
Correct Answer is D
Explanation
Choice D rationale:
"Antiembolism stockings on, leg exercises performed hourly" indicates that activities to prevent postoperative venous stasis were performed correctly. This combination ensures both mechanical prophylaxis (antiembolism stockings) and physical activity (leg exercises) to prevent blood clots in postoperative patients.
Choice A rationale:
"Leg exercises not performed because of placement of antiembolism hose" is not the correct approach. Leg exercises should be encouraged even when antiembolism stockings are worn, as they have complementary benefits in preventing venous stasis.
Choice B rationale:
"Antiembolism stockings removed hourly during leg exercises" is not recommended. Antiembolism stockings should be worn continuously to be effective in preventing venous stasis.
Choice C rationale:
"Client demonstrates the ability to move all extremities well" is a good sign of the client's mobility but does not confirm that the specific activities to prevent postoperative venous stasis were performed correctly. The combination of stockings and leg exercises is more comprehensive.
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