Chapter 71 Mass Casualty and Disaster Flashcards


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1

which type of injuries are expected from an earthquake with mass casualties?

Crushing injuries, spinal cord injuries, and breathing disorders.

2

The nurse is working in the immediate triage area of a mass causality situation using the simple Triage And Rapid Treatment (START) triage model. Which interventions would the nurse perform? Select all that apply.

Hold direct pressure to control bleeding

Open the airway for someone not breathing

3

The nurse comes to a mass casualty triage area to assist. Several victims have a “green tag.” What does this represent?

They are ambulatory and should be directed to move to a safe area.

4

Which hospital action plan is most successful for preparing staff for mass injuries?

Stage a simulated disaster twice a year.

5

The nurse is triaging a patient in a disaster who is apneic. The had is repositioned, and the victim does not begin breathing. Which action by the nurse would be most appropriate in this siatuation?

Attach a black tag

6

which considerations would the hospital evacuation committee discuss when creating the procedure? Select all that apply.

Sequence of evacuation

Extent of the evacuation

Urgency of the evacuation

Condition of hospital infrascture

7

Which considerations would be included in designing a plan for hospital emergency preparedness? Select all that apply.

Availability of personal proactive equipment (PPE)

Decontamination equipment and processes

Evacuation plans

Addressing mental health issues

Maintaining readiness

8

The nurse notices a patient is “gray tagged” using the SALT triage system. What does this mean for the patient?

They will be reassessed if additional resources become available.

9

The nurse is comparing the emergency department triage to the type of triage used with a disaster and mass casualty event. How are mass casualty events triaged differently? Select all that apply .

Prehospital personnel arriving at the scene usually establish a casualty collection area.

The victims with the least change of survival are given the lowest priority.

Colored tagging systems are used for prioritization.

10

The nurse is working with the state for disaster relief. The Federal Emergency Management Agency (FEMA) is contacted. What relief will they provide? Select all that apply.

Water

Search and rescue efforts

Food and shelter

Electrical power

11

In which situation would level C personal protective equipment (PPE) be appropriate ?

When the type of airborne exposure is known to be guarded against adequately by an air-purifying respirator

12

The nurse is triaging a patient of a natural disaster with respirations of 32 breaths per minute who lacks a radial pulse on the right arm. The patient is confused and unable to follow simple directions. Which color tag would the nurse select for this patient?

Red tag

13

The nurse is aware of the Centers of Disease Control and Prevention’s disaster triage model used by many organizations. Place the steps of the model in the proper order.

1. Sort

2. Assess

3.Lifesaving Interventions

4. Treatment/Transport

14

A nurse is preparing for a mass disaster and told by the supervisor to apply “moon suit” protection. Which equivalent hound the nurse apply?

Level A

15

A nurse is preparing a disaster kit for a family of four. Which supplies would be included? Select all that apply.

6 to 10 gallons of water

Flashlight with extra batteries

Over-the-counter medications

Cash

16

The nurse is in charge of a hospital evacuation in anticipation of a hurricane. Which patients would be evacuated first from the facility?

The most medically fragile

17

The nurse lives in a town that experienced a severe tornado. Place the emergency response process in the proper orde?

1.Local government’s emergency service

2.Neighboring community’s emergency services and volunteers

3. State response of National Guard

4. State request for Emergency Management Assistance Compact.

18

A retired nurse has not cared directly for a patients over 20 years and hesitant to assist in a community disaster. Which role would be most appropriate to assign the nurse during a disaster response?

Providing supportive care to victims

19

What is the purpose of the medical debriefing process after a disaster?

Analyze the team’s effort for improvement.

20

A medical-surgical nurse is called in to assist the emergency department with a disaster that requires decontamination. Which responsibility would be assigned to the nurse? Select all that apply.

Removing the patient’s clothing quickly and bagging it.

Place contaminated clothing in appropriate container.

Ensure a collection system is in place for water runoff.