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

Explanation

a. Assign the client to a negative pressure airflow room:Varicella zoster (chickenpox or shingles) is an airborne disease, so the client should be placed in a negative pressure airflow room to prevent the spread of the virus through airborne particles.

b. Administer aspirin if the client develops a fever:Aspirin should not be administered to children or adolescents with viral infections like varicella zoster due to the risk of Reye's syndrome, a potentially fatal condition that causes liver and brain damage.

c. Initiate contact precautions for the client: While contact precautions are important, varicella zoster also requires airborne precautions due to its highly contagious nature. This means that simply initiating contact precautions is not sufficient.

d. Have visitors remain at least 0.91 m (3 feet) away from the client:While maintaining distance can reduce the spread of many infections, varicella zoster requires more stringent precautions (airborne and contact). Instead of simply keeping a distance, visitors should be limited, and those who are not immune to varicella should avoid contact entirely.

A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min B. A client who has a urinary output of 30 mL in the past hour C. A client who is newly admitted and requires an admission assessment D. A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning

Correct Answer is B

Explanation

A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min likely requires closer monitoring and assessment of respiratory status. This may be more suitable for a registered nurse (RN), especially considering the potential for respiratory complications postoperatively. nd dietary considerations.

B.A client with a urinary output of 30 mL in the past hour may require assessment and intervention related to urinary function. While this may not necessarily require the expertise of an RN, it may be within the scope of practice for an LPN to monitor urinary output and report findings to the RN.

Option C, a newly admitted client requiring an admission assessment, should also be assigned to an RN, as this involves a comprehensive assessment that may require identifying potential risks and initiating appropriate interventions.

D. A client with a new diagnosis of diabetes mellitus awaiting teaching about meal planning may benefit from education provided by an RN or a certified diabetes educator (CDE) due to the complexity of diabetes management and the need for individualized teaching.

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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 assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Correct Answer is A

Explanation

A charge nurse is making assignments for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?

Correct Answer is B

Explanation

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?

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