Chapter 15 Disaster Management- Implications for the Critical Care Nurse

Chapter 15  Disaster Management- Implications for the Critical Care Nurse

Complete Chapter Questions And Answers
 

Sample Questions

1.
A nurse from the ICU is participating in the hospital’s disaster response preparedness team. One issue that proves difficult for the team to agree on is a statement regarding the standard of medical care observed during a disaster. Which of the following do you think the nurse should recommend to the team?
A)
The goal should be to provide the highest care possible, with limited resources and equipment.
B)
The lack of resources should not diminish the standard of care that the hospital provides.
C)
The medical staff should tend to the needs of the most critically ill first.
D)
If electrical power should be lost to the facility, patients on life support should be given lowest priority.

2.
A nurse learns that local law enforcement officials have informed the hospital that an imminent terrorist attack has been threatened in a building just down the street from the hospital. Which of the following are appropriate responses? Select all that apply.
A)
Explain to the patients in the ICU that a terrorist attack is expected and that their care may be interrupted.
B)
Begin making preparations to move all ICU patients to other hospital facilities in the area in the event of an attack.
C)
Review the hospital’s disaster plan and make sure that it is distributed to the rest of the medical staff.
D)
Determine what her specific role in the disaster plan is.
E)
Not be concerned because federal deployable medical teams will likely be sent to the hospital in the event of an attack.
F)
Check the number of ventilators available in the ICU to determine whether more would be needed in the event of an attack.

3.
The nurse is at the bedside of her 90-year-old patient, Ruth, who is comatose and on life support in the ICU, when she begins to feel the room shaking violently. The power suddenly fails and emergency generators have not started yet. The nurse provides bag-mask resuscitation for Ruth while she waits for the power to be restored. Moments later, the ICU is inundated with patients injured by the collapse of a nearby apartment building as a result of the earthquake. The nurse is called to help. Kevin has been impaled by a metal rod through the chest, is in a state of shock, and will die without immediate intervention. Gwyneth has compound fractures of the femur and a dislocated shoulder, is in pain, but is responsive. Mason is unconscious and unresponsive. Based on the START triage categories, whom should the nurse assist first in this situation?
A)
Ruth
B)
Kevin
C)
Gwyneth
D)
Mason

4.
A patient arrives at the ICU after being injured by car bomb that exploded 20 feet away. The patient sustained only primary blast injuries. Which of the following are injuries he might have sustained? Select all that apply.
A)
Perforated eardrum caused by a sudden change in atmospheric pressure
B)
Laceration from a shard of glass that struck the patient
C)
Concussion as a result of his body being thrown against a brick wall
D)
Hemorrhagic contusion of the lungs
E)
Gastrointestinal hemorrhage
F)
Blunt force trauma from a piece of metal shrapnel that struck the patient’s head

5.
A group of patients, colleagues from the same office, arrive at the ICU with symptoms of nausea, vomiting, and diarrhea. It is determined that they are suffering from radiation exposure as a result of an inconspicuous device placed in the office that leaked radiation over a period of days. The nurse suspects that which of the following was used in this terrorist attack?
A)
Radiological dispersal device
B)
Improvised nuclear device
C)
Nuclear weapon
D)
Simple radiological device

Answer Key

1.
A
2.
C, D, F
3.
B
4.
A, D, E
5.
D