The newly hired nurse educator for the emergency department is reviewing the hospital disaster plan and policies and finds that it has not been reviewed with the staff for 3 years. Which finding would be most important for the nurse educator to address related to the disaster plan?

Stockpiles of medications and resuscitation equipment may be depleted.

Resources within the hospital are likely to have changed.

New staff is unlikely to have training and practice in using the plan.

Surrounding communities are at an increased risk for technologic disasters.

Answer and Explanation

The Correct Answer is C

Choice A reason: Depleted stockpiles of medications and resuscitation equipment is a critical concern during a disaster, as it can directly impact the ability to provide care. However, this can typically be addressed by restocking and checking inventory regularly. It is not as immediately crucial as ensuring that all staff are trained and prepared to execute the disaster plan.

Choice B reason: Changes in hospital resources, such as personnel and infrastructure, can affect the execution of a disaster plan. While this is significant, the most pressing issue is ensuring that the new staff, who may be unfamiliar with the disaster protocols, are adequately trained and ready to respond effectively in an emergency.

Choice C reason: New staff lacking training and practice in using the disaster plan is the most important finding to address. In a disaster, the ability to implement the plan swiftly and effectively can save lives. Untrained staff may not know their roles, how to use equipment, or the procedures to follow, leading to chaos and ineffective response. Therefore, it is crucial to ensure all staff are familiar with and have practiced the disaster plan.

Choice D reason: The risk of technologic disasters in surrounding communities is important to consider in the disaster plan. However, the immediate priority within the hospital is to ensure staff are trained and prepared to handle any disaster scenario. Without proper training, even the best-planned responses to technologic disasters may fail.

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Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Obtaining vital signs is within the scope of practice for an LPN. This task is routine and does not require the clinical judgment of a registered nurse (RN), making it appropriate to delegate to an experienced LPN.

Choice B reason: Catheterizing a client is a procedure that LPNs are trained to perform. This task is within their scope of practice and can be safely delegated by the RN to ensure that the client's needs are met promptly.

Choice C reason: Developing a plan of care requires comprehensive assessment and clinical judgment, which falls within the scope of practice for an RN. This task should not be delegated to an LPN as it involves complex decision-making.

Choice D reason: Providing discharge instructions involves ensuring that the client and their family understand the care plan and any follow-up requirements. This task is typically performed by an RN, as it requires detailed knowledge and the ability to answer questions comprehensively.

Choice E reason: Administering a tap-water preoperative preparation enema is within the scope of practice for an LPN. This task is routine and can be safely delegated to ensure the client is prepared for the procedure.

A. Red B. Yellow C. Black D. Green

Correct Answer is B

Explanation

Choice A reason: The red category in the START triage system is assigned to clients who require immediate life-saving intervention. Although this client is in pain and has severe symptoms, their respiratory rate, pulse, and capillary refill are normal, indicating that they do not need immediate life-saving intervention.

Choice B reason: The yellow category is designated for clients whose condition is stable but requires observation. This client is awake, alert, and oriented, with a normal respiratory rate, good radial pulse, and normal capillary refill. While they have severe abdominal pain and nausea, their condition does not appear to be life-threatening, making yellow the appropriate triage level.

Choice C reason: The black category is used for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so they do not fall into this category.

Choice D reason: The green category is for clients with minor injuries who can walk and do not require urgent medical attention. Since this client has severe symptoms and needs medical attention, the green category is not appropriate.

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The newly hired nurse educator for the emergency department is reviewing the hospital disaster plan and policies and finds that it has not been reviewed with the staff for 3 years. Which finding would be most important for the nurse educator to address related to the disaster plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select All That Apply)

Correct Answer is ["A","B","E"]

Explanation

Correct Answer is B

Explanation

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