Zusammenfassung der Ressource
Frage 1
Frage
An older man arrives at the ED disoriented and breathing rapidly. He has hot, dry, skin. What is the priority for treatment at this point.
Antworten
-
To assess his airway, breathing, and circulation
-
To obtain a detailed medical history for his family
-
To determine that he has his health card before treating him
-
To start oxygen administration and have the ED physician see him
Frage 2
Frage
Which one of the following assessment parameters will the nurse address during the secondary assessment of a patient in triage?
Antworten
-
Blood pressure and heart rate
-
Patency of the patient's airway
-
Neurological status and level of consciousness
-
Presence or absence of breath sounds and quality of breathing
Frage 3
Frage
A head to toe assessment and full set of vital signs are performed during the...
Antworten
-
Primary assessment
-
Secondary assessment
Frage 4
Frage
In a burst fracture, the nurse expects to find...
Antworten
-
an intact fracture; fracture is caused by minor to moderate force applied directly to the bone
-
fragments out of normal position at fracture site
-
bone buckles and eventually cracks as the result of unusual loading force applied to its longitudinal axis
-
fracture lines radiate from one central point
-
multiple pieces of bone
Frage 5
Frage
What kind of fracture occurs at a 90 degree angle to longitudinal axis of bone?
Antworten
-
Oblique
-
Transverse
-
Linear
-
Spiral
Frage 6
Frage
A displaced # is often...
Antworten
-
complete
-
incomplete
-
comminuted
-
impacted
Frage 7
Frage
How much blood is lost with a patient whose pelvis is fractured in three sites?
Antworten
-
1.2 L
-
1500 ml
-
1200 ml
-
900 ml
Frage 8
Frage
One would consider external fixation for a patient with...
Antworten
-
compound fractures
-
nerve damage
-
soft tissue damage
-
cranial fracture
Frage 9
Frage
Nursing management for a patient with fractures includes....(select all that apply)
Antworten
-
Circulation, sensation, movement.
-
Pain
-
Vital signs
-
Observe for bleeding
-
Cast management
-
Head of bed elevation 6-8 inches
-
Signs of infection
-
Skin integriy
-
Ice
-
Edema
Frage 10
Frage
Which of the following nursing interventions is essential in caring for a client with compartment syndrome?
Antworten
-
Keeping the affected extremity below the level of the heart
-
Wrapping the affected extremity with a compression dressing to help decrease the swelling
-
Removing all external sources of pressure, such as clothing and jewelry
-
Call MD and prepare for fasciotomy.