TEST BANK
Chapters 21–35
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
21. Emergency and Disaster Nursing
22. Assessment and Management: Visual Problems
23. Assessment and Management: Auditory Problems
24. Assessment: Integumentary System
25. Integumentary Problems
26. Burns
27. Assessment: Respiratory System
28. Supporting Ventilation
29. Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
33. Assessment: Hematologic System
34. Hematologic Problems
35. Assessment: Cardiovascular System
, Lewis's Medical-Surgical Nursing, 13th Edition > Quizzes > Test Bank - Chapter 21 bd View as Student
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Score for this attempt: 0 out of 26
Submitted Jul 22 at 5:22am
This attempt took less than 1 minute.
Question 1 pts
The nurse is doing the primary survey of an adult who was in a motor vehicle
collision. After the nurse determines that the patient has an unobstructed
airway, which action would the nurse take next?
Palpate extremities for bilateral pulses.
➔ Observe the patient's respiratory effort.
Examine the pupils for size and reactivity.
Check the patient's level of consciousness.
Even with a patent airway, patients can have other problems that
compromise ventilation, so the next action is to assess the patient's
breathing. The other actions are also part of the initial survey, but
assessment of breathing should be done immediately after assessing for
airway patency.
9,ii:kMH
~ Question 2 0 I 1 pts
r
, LJUI Ill() LIit:' 1-'I lllldl y ::,u, vey UI d 1-'dllt:'lll VVILII ::,evt:'lt:' It:'() lldUllld, ll It:' I IUI ::,e
observes that the patient's left pedal and posterior tibial pulses are absent, and
the entire leg is swollen. Which action will the nurse take next?
➔ Start a normal saline IV fluid infusion.
Obtain the ordered complete blood count.
Assess further for a cause of the decreased circulation.
Finish the disability and exposure phases of the survey.
The assessment indicates that the patient may have arterial trauma and
hemorrhage. When a life-threatening injury is found during the primary
survey, the nurse should immediately start interventions before
proceeding with the survey. Although a complete blood count is
indicated, administration of IV fluids should not be delayed. The primary
survey should be completed after the IV fluids are initiated.
Question 3 pts
A patient who had a cardiac arrest has been resuscitated and therapeutic
hypothermia is prescribed. Which action will the nurse include in the plan of
care?
Hold the prescribed sedative drugs.
Check mental status every 15 minutes.
➔ Initiate protocol for temperature management.
Rewarm if temperature is below 91°F (32.8°C).
Therapeutic hypothermia, also called targeted temperature management
(TTM), is initiated following protocols using external cooling devices or
cold normal saline infusions to rapidly lower body temperature to 89.6°F
to 96.8°F (32°C to 36°C). Because hypothermia will decrease brain
activity, assessing mental status every 15 minutes is not done at this
stage. Sedative drugs are given during therapeutic hypothermia.
Question 4 pts
Which action would the nurse in the emergency department complete during
the secondary survey of a patient who is unconscious after a fall from a ladder?
Check a Glasgow Coma Scale score.
Attach an electrocardiogram monitor.
Obtain the patient's complete set of vital signs.
➔ Ask the patient's family about allergies and medical history.
Health history and head to toe assessment are part of the secondary
survey. Vital signs, the Glasgow Coma Scale, and attaching monitoring
devices such as an ECG monitor are part of the primary survey.
r•ii:IIHH
Question 5 pts
Chapters 21–35
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
21. Emergency and Disaster Nursing
22. Assessment and Management: Visual Problems
23. Assessment and Management: Auditory Problems
24. Assessment: Integumentary System
25. Integumentary Problems
26. Burns
27. Assessment: Respiratory System
28. Supporting Ventilation
29. Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
33. Assessment: Hematologic System
34. Hematologic Problems
35. Assessment: Cardiovascular System
, Lewis's Medical-Surgical Nursing, 13th Edition > Quizzes > Test Bank - Chapter 21 bd View as Student
Home Related Items
(S) Publish Preview 8Assign To ¾Edit
Wiley Course
¾ Keep Editing This Quiz
Resources
Last Attempt Details:
Announcements 0
Time: less than 1 minute
~ Assignments
Test Bank - Chapter 21
Courses Preview the Quiz Again
Discussions
Grades CDThis is a preview of the draft version of the quiz
People
0 Quiz Type Graded Quiz
Pages
Points 26
Files 0
Assignment Group Assignments
Syllabus Shuffle Answers No
Outcomes 0 Time Limit No Time Limit
Multiple Attempts Yes
Rubrics
Score to Keep Highest
I
Quizzes
Attempts Unlimited
Modules View Responses Always
BigBlueButton Show Correct Answers Immediately
One Question at a Time No
Collaborations
Require Respondus LockDown No
Course Analytics Browser
Lucid (Whiteboard) Required to View Quiz Results No
Monitor Required No
ltPm Rsmks
Due For Available from Until
Everyone
Preview
Score for this attempt: 0 out of 26
Submitted Jul 22 at 5:22am
This attempt took less than 1 minute.
Question 1 pts
The nurse is doing the primary survey of an adult who was in a motor vehicle
collision. After the nurse determines that the patient has an unobstructed
airway, which action would the nurse take next?
Palpate extremities for bilateral pulses.
➔ Observe the patient's respiratory effort.
Examine the pupils for size and reactivity.
Check the patient's level of consciousness.
Even with a patent airway, patients can have other problems that
compromise ventilation, so the next action is to assess the patient's
breathing. The other actions are also part of the initial survey, but
assessment of breathing should be done immediately after assessing for
airway patency.
9,ii:kMH
~ Question 2 0 I 1 pts
r
, LJUI Ill() LIit:' 1-'I lllldl y ::,u, vey UI d 1-'dllt:'lll VVILII ::,evt:'lt:' It:'() lldUllld, ll It:' I IUI ::,e
observes that the patient's left pedal and posterior tibial pulses are absent, and
the entire leg is swollen. Which action will the nurse take next?
➔ Start a normal saline IV fluid infusion.
Obtain the ordered complete blood count.
Assess further for a cause of the decreased circulation.
Finish the disability and exposure phases of the survey.
The assessment indicates that the patient may have arterial trauma and
hemorrhage. When a life-threatening injury is found during the primary
survey, the nurse should immediately start interventions before
proceeding with the survey. Although a complete blood count is
indicated, administration of IV fluids should not be delayed. The primary
survey should be completed after the IV fluids are initiated.
Question 3 pts
A patient who had a cardiac arrest has been resuscitated and therapeutic
hypothermia is prescribed. Which action will the nurse include in the plan of
care?
Hold the prescribed sedative drugs.
Check mental status every 15 minutes.
➔ Initiate protocol for temperature management.
Rewarm if temperature is below 91°F (32.8°C).
Therapeutic hypothermia, also called targeted temperature management
(TTM), is initiated following protocols using external cooling devices or
cold normal saline infusions to rapidly lower body temperature to 89.6°F
to 96.8°F (32°C to 36°C). Because hypothermia will decrease brain
activity, assessing mental status every 15 minutes is not done at this
stage. Sedative drugs are given during therapeutic hypothermia.
Question 4 pts
Which action would the nurse in the emergency department complete during
the secondary survey of a patient who is unconscious after a fall from a ladder?
Check a Glasgow Coma Scale score.
Attach an electrocardiogram monitor.
Obtain the patient's complete set of vital signs.
➔ Ask the patient's family about allergies and medical history.
Health history and head to toe assessment are part of the secondary
survey. Vital signs, the Glasgow Coma Scale, and attaching monitoring
devices such as an ECG monitor are part of the primary survey.
r•ii:IIHH
Question 5 pts
