5. A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an area hospital is advised to prepare for casualties. Which action would the nurse manager who receives the telephone call regarding this warning take first?
A. Activate the agency disaster plan.
B. Supply the triage rooms with additional equipment.
C. Increase the number of nursing staff for the day on which the hurricane is expected.
D. Call the hospital maintenance department to secure the building against the storm.
6. A home health nurse has instructed a client about safety measures during the use of an oxygen concentrator in the home. Which statement by the client indicates to the nurse that the client understands the directions? Select all that apply.
A. "I need to follow the oxygen prescription exactly."
B. "I can use my electric razor while I'm using oxygen."
C. "I have to keep the oxygen concentrator out of direct sunlight."
D. "I need to keep the oxygen concentrator as close to the wall as possible or put it in a corner."
E. "I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of the oxygen concentrator."
7. A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints. How often does the nurse instruct the nursing assistant to release the restraints to permit muscle exercise?
Answer (2)
In the scenario of an impending hurricane, the nurse manager should prioritize actions that will maximize readiness and ensure safety for both patients and staff. The first action to take would be A. Activate the agency disaster plan.
It is crucial to have a comprehensive approach when preparing for a natural disaster like a hurricane. The disaster plan would include all necessary protocols to ensure patient safety, resource allocation, staff assignments, and communication plans. This step provides a structured framework to address all subsequent actions, such as stocking supplies or increasing staff, which are part of the disaster preparedness process.
When it comes to using an oxygen concentrator in the home, the following statements indicate that the client understands the safety measures:
A. "I need to follow the oxygen prescription exactly."
Adhering to the prescribed oxygen levels ensures safety and proper treatment.
B. "I can use my electric razor while I'm using oxygen."
Most electric razors are safe to use as they don't produce sparks, which is important around oxygen.
C. "I have to keep the oxygen concentrator out of direct sunlight."
Keeping the concentrator out of direct sunlight prevents overheating and potential equipment malfunction.
E. "I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of the oxygen concentrator."
Ongoing communication about fire hazards is crucial, as oxygen can cause fires to ignite more readily.
The nurse should instruct the nursing assistant to release the client's hand restraints periodically to allow for muscle exercise. This means the restraints must be released every 2 hours . This frequency helps prevent complications such as circulation issues or muscle atrophy, while maintaining the safety and dignity of the client. It's essential to balance safety with regular care to ensure the client's well-being.
In preparing for a hurricane, the nurse manager should first activate the agency disaster plan to ensure a coordinated response. For the oxygen concentrator, the client should follow the prescribed oxygen levels, keep the device out of sunlight, and enforce a no-smoking policy nearby. Hand restraints should be released every 2 hours to permit muscle exercise and prevent complications.
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