Medical-Surgical Nursing Study Set 1

Nursing

Quiz 7 :

Concepts of Emergency and Trauma Nursing

Quiz 7 :

Concepts of Emergency and Trauma Nursing

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The emergency department manager has created a task force to decrease the rate of adverse incidents in patients who have increased safety needs during their stay in the department. At their meeting, each person discussed a specific safety need and actions that can be taken to reduce that risk. What populations are at highest risk for safety compromise while in the emergency department?
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Answer:

The manager of the emergency department has created a team of personnel to reduce the number of accidents in the ED. Since, the emergency department is always in a state of confusion with new people coming in and existing patients having various problems.
The populations which are at highest risk for the compromise of safety when in the emergency department are:
• Immune suppressed patients: these patients can easily acquire new infections since their immunity is compromised.
• Patients who are in stretchers can easily fall
• Patients who are bedridden can also develop pressure ulcers due to staying in the same position for long periods of time.
• Patients with injuries in the lower part of the body can also fall easily since they may not have balance.

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The emergency department nurse is assigned to five clients waiting for orders to be implemented. Which client does the nurse assess first?
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An ED nurse is told to assist 5 patients.
Option A is about a 60 year old patient who is waiting to go to the operation theatre for an emergency appendectomy. Since an appendectomy can be fatal, this patient is the most needful of all the 5 patients.
Option A is the right answer.
The patient is a 25 year old with a fracture in the femur and who has received medication for pain. Since, the patient has already received attention for the pain; the nurse need not attend to him urgently.
Option B cannot be the right answer.
The patient is a 30 year old with nausea and vomiting. Since the patient is now sleeping, the nurse need not attend to him urgently.
Option C cannot be the right answer.
Option D cannot be the right answer because the patient is a 28 year old with a wound in his arm and who is waiting for stitches. This patient would be the second option to the nurse.
Hence, the correct option is A) a 60 year old patient waiting to go for an appendectomy.

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The emergency department manager has created a task force to decrease the rate of adverse incidents in patients who have increased safety needs during their stay in the department. At their meeting, each person discussed a specific safety need and actions that can be taken to reduce that risk. What specific procedures can the unit implement to decrease medication errors?
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Answer:

The manager of the emergency department has created a team of personnel to reduce the number of accidents in the ED. Since, the emergency department is always in a state of confusion with new people coming in and existing patients having various problems.
Specific procedures which the team can implement to prevent medication errors are:
1. Check for medical bracelet
2. Check medication list or medication in luggage of patient
3. Obtain medical and family history of the patient
4. Specific charts for each person next to the patient and for the nursing staff
A medical bracelet is sometimes given to patients who are mentally unstable. The medication list or medication gives us the details of the drugs already being used by the patient. The ED doctors can then prescribe accordingly.
The medical and family history of a patient is very important. Since, the medical history tells of any allergies to specific drugs or foods, the doctor needs to know about the medical history and what procedures and tests have been done so far.
The charts giving details of the patient should be very clear and the nurses should not confuse one patient with another if they are in the same room. Different colored charts can help in this case.

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A trauma client has been brought to the emergency department after a motor vehicle crash. The client has severe injuries. What action does the nurse perform first?
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The emergency department manager has created a task force to decrease the rate of adverse incidents in patients who have increased safety needs during their stay in the department. At their meeting, each person discussed a specific safety need and actions that can be taken to reduce that risk. What actions can be delegated to unlicensed personnel in these areas: medication administration, skin protection, and fall risk?
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The emergency department manager has created a task force to decrease the rate of adverse incidents in patients who have increased safety needs during their stay in the department. At their meeting, each person discussed a specific safety need and actions that can be taken to reduce that risk. How can the staff reduce hazard risk for patients who are confused (either as a chronic condition or as the result of medication side effects) or who have delirium?
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