DIFFERENT EMERGENCIES

Question 1

what are nursing interventions to perform during severe thunderstorms/tornado?

Answer 1

1. draw shades and close drapes
2. lower all beds to lowest position and move away from windows
3. place blankets over all patients that are confined in beds
4. relocate ambulatory patients into hallways or secure location

Question 2

what are manifestations of inhalational anthrax?

Answer 2

1. fever
2. cough
3. SOB/chest pain
4. muscle aches
5. meningitis

Question 3

what can help prevent inhalational anthrax?

Answer 3

1. vaccine

2. ciprofloxacin and doxycycline IV or PO

Question 4

what can help treat inhalational anthrax?

Answer 4

one or two additional antibiotics such as vancomycin, penicillin, and anthrax antitoxin

Question 5

what are manifestations of cutaneous anthrax?

Answer 5

starts as an itchy lesion–> necrotic and black eschar

Question 6

what is treatment for cutaneous anthrax?

Answer 6

ciprofloxacin and doxycycline

Question 7

what are manifestations of botulism?

Answer 7

1. difficulty swallowing
2. double vision
3. slurred speech
4. descending progressive weakness

Question 8

what are treatment options for botulism?

Answer 8

1. airway management
2. antitoxin
3. elimination of toxin

Question 9

what are examples of viral hemorrhagic fever?

Answer 9

ebola and yellow fever

Question 10

what are manifestations of viral hemorrhagic fever?

Answer 10

1. internal/external bleeding
2. diarrhea
3. high temperature
4. headache/sore throat

Question 11

what are treatments for viral hemorrhagic fever?

Answer 11

there is no cure so supportive care is given

Question 12

what are prevention treatments to avoid plague?

Answer 12

1. contact precautions until decontaminated

2. droplet precautions until 72 hours after antibiotics

Question 13

what are treatment options for plague?

Answer 13

streptomycin/gentamycin or tetracycline/doxycycline

Question 14

what are manifestations of bubonic plague?

Answer 14

1. swollen, tender, lymph nodes
2. headache
3. fever, weakness

Question 15

what are manifestations of septicemic plague?

Answer 15

1. gangrene on nose and digits
2. DIC
3. shock
4. abdominal pain
5. prostration

Question 16

what are manifestations of small pox?

Answer 16

1. rash
2. delirium
3. high fever/fatigue/severe headache

Question 17

what are preventative measures to treat smallpox?

Answer 17

1. vaccine and it can also be given within 3 days of exposure
2. contact and airborne precautions

Question 18

what treatments are given for small pox?

Answer 18

supportive care is given to treat smallpox such as preventing dehydration, skin care, and antibiotics for secondary infections

Question 19

what are manifestations of tularemia?

Answer 19

1. dry cough
2. muscle aches/joint pain
3. sudden fever/chills

Question 20

what are treatment options for tularemia?

Answer 20

streptomycin/gentamycin are the drug of choice

Question 21

how can the nurse remove chemical incidents?

Answer 21

provide immediate and prolonged irrigation of contaminated areas with running water except for dry chemicals (lye or white phosphorus) which you will brush off the clothing and skin

Question 22

how can the nurse help remove hazardous material incidents?

Answer 22

1. slowly remove contaminated clothing to prevent material from becoming airborne
2. wash skin with water and antibacterial soap
3. place materials in large plastic bags and seal them

Question 23

what should the nurse do if a bomb threat phone call is received?

Answer 23

1. extend the conversation as long as possible
2. listen for distinguishing background noises and voice
3. ask where and when the bomb is going to explode