Chapter 44, Care of Patients in Disasters or Bioterrorism Attack: Preparing for Chemical, Nuclear, and Biological Disasters

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Question 1 of 6

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Which occurrence indicates that a chemical attack may have occurred?

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    • A low-lying cloud suddenly appearing in the atmosphereIndications that a chemical attack has occurred might include a fog-like or low-lying cloud suddenly appearing in the atmosphere.
    • An increase in the bird, domestic animal, or insect population in the areaMany dead birds, domestic animals, or insects within an area (not an increase in the populations) may indicate a chemical attack has occurred.
    • Many dead, dying, or sick people living near an industrial plantMany dead, dying, or sick people living near an industrial plant may be associated with contaminants from the plant itself.
    • A high number of patients presenting to the hospital with hematopoietic syndromeA nuclear attack may be associated with hematopoietic syndrome.

Question 2 of 6

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Which protocol would a person follow during a chemical contamination when the chemical is on their clothes?

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    • Remove the clothing as soon as possibleClothing that is contaminated should be removed as soon as possible. Chemicals will penetrate clothing and contaminate and burn the skin.
    • Leave clothes on to protect the skinDo not leave clothing on. Clothing that is contaminated should be removed as soon as possible. Chemicals will penetrate clothing and contaminate and burn the skin.
    • Pull clothes off over the headContaminated clothing should never be pulled off over the head. Rather it should be cut off.
    • Stand in shower with clothes on to rinse chemical offChemicals cannot be rinsed off of clothing. Chemicals usually penetrate clothing and contaminate the skin beneath. Never shower with contaminated clothes on. This just aids the chemical in getting to the skin.

Question 3 of 6

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Which protocol would be followed for disposal of contaminated clothing that is removed during a chemical contamination? Select all that apply. One, some, or all responses may be correct.

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    • Place in a plastic bag and seal it.Clothing that is contaminated should be carefully placed in a plastic bag and sealed. This is to prevent further contamination of other individuals.
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    • Place clothing bag inside another plastic bag and seal outer bag.Clothing that is contaminated should be carefully placed in a plastic bag and sealed. Then, the bag is placed inside another plastic bag and the outer bag is sealed. This is to prevent further contamination of other individuals.
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    • Hand the bags of clothing to emergency personnel or health department for disposal.Disposal of chemically contaminated clothing must be per protocol to protect the environment and other individuals from contamination.
    • Place in plastic bag, seal and place in the nearest dumpster.Never place contaminated clothing in a dumpster. It must be disposed of per protocol and safety regulations to prevent further contamination.
    • Burn all clothing that is contaminated with chemicals.Never burn chemically contaminated clothing. This may cause an explosion, and it releases harmful chemicals into the air.

Question 4 of 6

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Which symptoms does the nurse expect to occur after a patient with radiation contamination develops gastrointestinal syndrome?

    • Bleeding or hemorrhageBleeding or hemorrhage occur in the hematopoietic syndrome and are not symptoms of gastrointestinal syndrome.
    • Shortness of breath and feverShortness of breath and fever may be seen with radiation-induced pneumonia but are not symptoms of gastrointestinal syndrome.
    • Confusion and ataxiaConfusion and ataxia are neurologic symptoms and are not related to gastrointestinal syndrome.
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    • Nausea, vomiting, and diarrheaNausea, vomiting, and diarrhea are all gastrointestinal symptoms and would likely occur with gastrointestinal syndrome.

Question 5 of 6

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Which sign or event presents a warning that a bioterrorism attack has occurred? Select all that apply. One, some, or all responses may be correct.

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    • Sudden death of many animals in the communityCertain signs or events may present a warning that a bioterrorism attack has occurred. Sudden death of many animals in the community is one of the signs indicating a bioterrorism attack.
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    • Unusual disease presentationCertain signs or events may present a warning that a bioterrorism attack has occurred. Unusual disease presentation is one of the signs indicating a bioterrorism attack.
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    • Large number of patients with similar symptoms of diseaseCertain signs or events may present a warning that a bioterrorism attack has occurred. A large number of patients with similar symptoms of disease is one of the signs indicating a bioterrorism attack.
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    • Atypical incidence of disease in patients not usually affectedCertain signs or events may present a warning that a bioterrorism attack has occurred. An atypical incidence of disease in patients not usually affected is one of the signs indicating a bioterrorism attack.
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    • Higher-than-expected illness and death incidence with common diseaseCertain signs or events may present a warning that a bioterrorism attack has occurred. A higher-than-expected illness and death incidence with a common disease is one of the signs indicating a bioterrorism attack.

Question 6 of 6

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Which statement would a nurse make about biologic agents? Select all that apply. One, some, or all responses may be correct.

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    • Symptoms from exposure are not immediate.Symptoms from exposure to a biologic agent are not immediate. There are various incubation periods depending on the agent and how it was ingested.
    • Biologic agents belong to one classification group.Biologic agents are divided into three groups, Category A, Category B, and Category C.
    • Biologic agents do not normally cause mass casualties.Category A biologic agents are easily disseminated, and some may be transmitted from person to person as well. These could cause mass casualties. Category C agents have yet to be weaponized but also have the potential for high morbidity and mortality.
    • The incubation period for biologic agents is a few hours.Incubation periods vary with the agent and how it was ingested. Incubation periods can be hours, days, weeks, or months depending on the agent.
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    • There are various incubation periods from biologic agents.Incubation periods vary with the agent and how it was ingested. Incubation periods can be hours, days, weeks, or months depending on the agent.