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Advanced Med Surg

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Question
Answer
provides a sensitive and thorough sexual assault exam and respects the patient’s privacy.   SANE nurse  
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This blood type is the universal recipient   AB+  
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This blood type is the universal donor   O-  
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Symptoms of could include SOB, swelling of extremities, crackles in lungs   fluid volume(excess, overload)  
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Maximum length of time for one unit blood infusion   4 hours  
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Symptoms: cool moist skin, increased heart rate, falling BP could be complication after trauma   Hypovolemic Shock  
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Maintains several departments concerned with occupational safety and health   OSHA, CDC  
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Related to radiation exposure, survivors are actually ill with n/v, diarrhea, shock, neuro symptoms   improbable  
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Related to radiation injury, survivors present with n/v that persists for 24-48 hours   possible  
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Related to radiation injury, survivors have no or only minimal symptoms   probable  
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The most likely weaponized biologic agent   Anthrax  
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Patient admitted for exposure to nerve agents, the nurse expects to treat with this drug   Atropine  
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Types of vesicants   lewisite, sulfur mustard, phosgene, nitrogen mustard  
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Symptoms could include enlarged leg veins, leg pain on walking, standing, protruding leg veins   DVT  
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Symptoms include leg warmth, leg pain, erythema, no pain sometimes   DVT  
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The degree to which a substance is able to damage an exposed organism.   Toxicity  
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The tendency for a chemical to become a vapor is termed   Volatility  
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Protection is typical work uniform   Level D  
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Protection requires air purified respirator, coverall with splash hood, chemical resistant gloves and boots   Level C  
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Worn with highest level of respiratory protection and lesser skin and eye protection. SCBA chemical resistant suit   Level B  
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Highest level of PPE in a disaster - respiratory , skin, eye and mucous membrane protection needed. SCBA, vapor fight suit, gloves and boots   Level A  
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Symptoms include N/V, fatigue, HA, weakness muscle cramps, absence of sweating, increased body temp, increase pulse   Heat Stroke  
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Extensive injury chances of survival unlikely - ex: penetrating head wound. Separated but not abandoned   Black, expectant  
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Injuries can be delayed hours to days moved away from main triage area in disaster site   Green, minor  
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Significant injuries can wait hours without threat to life related to disaster triage   Yellow, delayed  
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Life threatening but survivable with intervention related to disaster triage ex. Sucking chest wound   Red, immediate  
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Sorting large numbers of casualties based on likelihood of survival and resource consumption   Disaster Triage  
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Sorting patients by hierarchy based on severity and immediacy for treatment   Emergency Triage  
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Symptoms include petechail hemorrhages, SOB, agitation, hypoxemia, can occur 1-3 days after injury   Fat Emboli  
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Can occur as a result of long bone fractures with respiratory and neurovascular symptoms   Fat Emboli  
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Pain, tingling, pallor, cold limb, swelling, paresthesia, tight muscle sensation, numbness   Compartment Syndrome  
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Pain occurs or intensifies with passive ROM   Compartment Syndrome  
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A fracture in which one broken end is wedged into the other broken end   Impacted Fracture  
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A fracture most likely caused by serious trauma to the spine. Falling from increased heights   Compression  
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This nursing assessment is priority when assessing the patient with a casted extremity   Neurovascular Assessment  
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A fracture in which bone is sticking through the skin   Compound Fracture  
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