Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing - Nurselytic

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)

Chapter 73 : Terrorism, Mass Casualty, and Disaster Nursing Questions

Question 1 of 5

There has been a radiation-based terrorist attack and a patient is experiencing vomiting, diarrhea, and shock after the attack. How will the patients likelihood of survival be characterized?

Correct Answer: C

Rationale: Symptoms like vomiting, diarrhea, and shock indicate high radiation exposure (>800 rads), making survival improbable due to severe systemic damage.

Question 2 of 5

A 44-year-old male patient has been exposed to severe amount of radiation after a leak in a reactor plant. When planning this patients care, the nurse should implement what action?

Correct Answer: B

Rationale: Radiation damages the hematopoietic system, increasing infection risk, so infection prevention is critical. Alcohol/iodine, hair removal, or immunization checks are not relevant.

Question 3 of 5

The nurse is coordinating the care of victims who arrive at the ED after a radiation leak at a nearby nuclear plant. What would be the first intervention initiated when victims arrive at the hospital?

Correct Answer: B

Rationale: Initial radiation survey with a meter identifies contamination levels, guiding subsequent decontamination efforts. Other interventions follow this step.

Question 4 of 5

An industrial site has experienced a radiation leak and workers who have been potentially affected are en route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action?

Correct Answer: B

Rationale: External triage prevents hospital contamination by assessing and decontaminating victims outside. Other measures are less effective for this purpose.

Question 5 of 5

After a radiation exposure, a patient has been assessed and determined to be a possible survivor. Following the resolution of the patients initial symptoms, the care team should anticipate what event?

Correct Answer: C

Rationale: A latent phase follows initial radiation symptoms in possible survivors, preceding potential recovery or worsening. Full health or severe outcomes are less likely.

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