Author Question: A hospital prepares to receive large numbers of casualties from a community disaster. Which clients ... (Read 45 times)

jlmhmf · **on:** Jun 25, 2018

A hospital prepares to receive large numbers of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge or transfer to another facility? (Select all that apply.)

a. Older adult in the medical decision unit for evaluation of chest pain
b. Client who had open reduction and internal fixation of a femur fracture 3 days ago
c. Client admitted last night with community-acquired pneumonia
d. Infant who has a fever of unknown origin
e. Client on the medical unit for wound care

Question 2

A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel role? (Select all that apply.)

a. Paramedic - Decides the number, acuity, and resource needs of clients
b. Hospital incident commander - Assumes overall leadership for implementing the emergency plan
c. Public information officer - Provides advanced life support during transportation to the hospital
d. Triage officer - Rapidly evaluates each client to determine priorities for treatment
e. Medical command physician - Serves as a liaison between the health care facility and the media

yotaSR5 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B, E
The client with the femur fracture could be transferred to a rehabilitation facility, and the client on the medical unit for wound care should be transferred home with home health or to a long-term care facility for ongoing wound care. The client in the medical decision unit should be identified for dismissal if diagnostic testing reveals a noncardiac source of chest pain. The newly admitted client with pneumonia would not be a good choice because culture results are not yet available and antibiotics have not been administered long enough. The infant does not have a definitive diagnosis.

Answer to Question 2

ANS: B, D
The hospital incident commander assumes overall leadership for implementing the emergency plan. The triage officer rapidly evaluates each client to determine priorities for treatment. The paramedic provides advanced life support during transportation to the hospital. The public information officer serves as a liaison between the health care facility and the media. The medical command physician decides the number, acuity, and resource needs of clients.