A facility has been notified of a train derailment resulting in multiple patients experiencing life threatening injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on the PACU take first? 

At least 2 ambulances have brought in patients with gun shot wounds. So far, the ER is running smoothly. Many victims have been brought in by private vehicle and the waiting room is filling with people. Some family and friends are asking about loved ones and the local press is asking questions. . A strange man meanders into the waiting area but does not speak to others. The ER is becoming very chaotic.   Local police is on hand but more and more people are coming through the doors. A strange man with a blank gaze approaches the registration clerk and removed a loaded handgun from under his coat. The clerk should: 

A nurse in an emergency department is  admitting patients following an earthquake. The disaster plan has been implemented. Which of the following patients should the nurse evaluate first? 

A nurse is field triaging patients after a industrial accident. Which patient should the nurse give red tag, class 1, emergent status? 

A home health nurse is conducting a babynet visit and notices the patient crying with scratches on both arms and a bruise on her lower leg. The nurse should ask which of the following? SATA 

A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize in deciding what to do? 

Sodium, calcium, and bicarbonate are all described as plasma

A patient admitted with acute respiratory failure is unable to clear thick secretions from the airway. Which nursing intervention would specifically address this patient problem?

A patient who is just waking up after having hip replacement surgery is agitated and confused. Which action would the nurse take first?

Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of a patient’s dislocated shoulder. Which action would the nurse anticipate?