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Trauma Lecture

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Trauma

Question 1 of 10

1

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.

Select one of the following:

  • 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

Explanation

Question 2 of 10

1

Which one of the following assessment parameters will the nurse address during the secondary assessment of a patient in triage?

Select one of the following:

  • 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

Explanation

Question 3 of 10

1

A head to toe assessment and full set of vital signs are performed during the...

Select one of the following:

  • Primary assessment

  • Secondary assessment

Explanation

Question 4 of 10

1

In a burst fracture, the nurse expects to find...

Select one of the following:

  • 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

Explanation

Question 5 of 10

1

What kind of fracture occurs at a 90 degree angle to longitudinal axis of bone?

Select one of the following:

  • Oblique

  • Transverse

  • Linear

  • Spiral

Explanation

Question 6 of 10

1

A displaced # is often...

Select one of the following:

  • complete

  • incomplete

  • comminuted

  • impacted

Explanation

Question 7 of 10

1

How much blood is lost with a patient whose pelvis is fractured in three sites?

Select one of the following:

  • 1.2 L

  • 1500 ml

  • 1200 ml

  • 900 ml

Explanation

Question 8 of 10

1

One would consider external fixation for a patient with...

Select one of the following:

  • compound fractures

  • nerve damage

  • soft tissue damage

  • cranial fracture

Explanation

Question 9 of 10

1

Nursing management for a patient with fractures includes....(select all that apply)

Select one or more of the following:

  • 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

Explanation

Question 10 of 10

1

Which of the following nursing interventions is essential in caring for a client with compartment syndrome?

Select one or more of the following:

  • 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.

Explanation

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