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The nurse is planning care for a client following a surgical
procedure.Which collaborative action should the nurse
include? (Select all that apply.)
B. Informing the dietician that the client is on a special diet
A. Changing the medication order after speaking with the and needs reteaching about the diet
client about adverse ettects
B. Informing the dietician that the client is on a special diet C. Consulting the pharmacist regarding interactions be-
and needs reteaching about the diet tween medications the client is prescribed
C. Consulting the pharmacist regarding interactions be-
tween medications the client is prescribed E. Updating the physical therapist regarding the client's
D. Informing the pharmacist that the client's blood pres- physical activity and tolerance earlier in the day
sure (BP) is low and to hold the BP medication
E. Updating the physical therapist regarding the client's
physical activity and tolerance earlier in the day
A client tells the nurse that the pain medication is inettec-
tive and causes too many side ettects. Which interprofes-
sional team member should the nurse consult? (Select all
C. Physician
that apply.)
D. Pharmacist
A. Dentist
B. Dietician
E. Complementary healthcare provider
C. Physician
D. Pharmacist
E. Complementary healthcare provider
Which hospital description is consistent with a Level I
trauma center?
A. Regional resource, state-of-the-science care, education,
A.Regional resource, state-of-the-science care, education,
outreach, and research outreach, and research
B. Provides care for trauma patients and transfer to Level I
if needed
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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C.Community hospital where no Level I or II exists
D.Provides advanced trauma life support (ATLS) and
transfer
What does the "golden hour" in trauma refer to?
A. Hour-long educational programs that focus on preven-
tion strategies for teens
B. First hour of emergent care focusing on rapid assess- B.First hour of emergent care focusing on rapid assess-
ment, resuscitation, and treatment ment, resuscitation, and treatment
C. First hour after stabilization in the emergency depart-
ment
D. Surgery should occur within a hour of injury for optimal
patient survival
What is a complication of hypothermia?
A. Rapid infusion of IV fluids
C. Coagulopathies and dysrhythmias
B. Rapid infusion of blood products
C.Coagulopathies and dysrhythmias
D.Wet linens
Which client will the emergency nurse triage as the prior-
ity?
A.21-year old with ankle fracture
B.33-year old with with vomiting, flank pain, and a history D.59-year-old with sweating, jaw pain, and pain in the left
of kidney stones arm
C.49-year-old with profound weakness and 103° F fever
D.59-year-old with sweating, jaw pain, and pain in the left
arm
While performing a history, a client becomes uncon-
scious. What is the priority nursing action?
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A. Obtain vital signs.
B. Assess the airway.
B. Assess the airway.
C. Contact the ED physician.
D. Evaluate the patient's level of consciousness.
The nurse is caring for a female client who has been
seen at the ED multiple times recently for sexually trans-
mitted infections and various physical concerns. When
the client's boyfriend goes for cottee, what is the priority
nursing action?
C. Ask, "Does anyone you know make you feel unsafe?"
A. Look for tattooing or 'branding' marks.
B. Complete a psychosocial assessment.
C. Ask, "Does anyone you know make you feel unsafe?"
D.Follow agency policy for contacting local authorities to
report the concern
During a mass casualty, a color is assigned to patients
based on severity of injury. Which color indicates the pa-
tient needs emergent care?
A.Red
A. Red
B.Green
C.Yellow
D.Black
Which traumatic chest injury is most likely to result in
patient death?
A) Cardiac contusion B) Tension pneumothorax
B) Tension pneumothorax
C) Open pneumothorax
D) Pulmonary contusion
Traumatic Brain Injury (TBI)
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- Traumatic Brain Injuries can result from an object that
pierces the skull and enters the brain OR can be caused
by blunt, jolt, or blow to the head or the body.
2 TYPES
1. Open TBI (Penetrating) --> The scalp (or skin) is torn or
a fracture extends into the sinuses or middle ear; includes
injury to the skull with entry into brain tissue.
EX: Basilar Skull fracture
2. Closed TBI (Non-penetrating) --> No break in the scalp;
caused by external force of suflcient strength to move the
brain within the skull.
EX: Concussion
~ Primary injuries: Damage is immediate.
~ Secondary Injuries: Gradual damage over hours, days,
or weeks, often result of reactive processes relative to
ischemia that occur after the initial trauma.
- Linear: Single fracture line which could be displaced or
misplaced. Most common type of skull fracture.
* Linear fractures at the skull base are termed Basilar
fractures.
- Communited: Splintered or shattered in pieces.
Classification of Fractures * Occurs from multiple linear fractures with a depressed
area at the site of impact.
- Depressed: Fragment is displaced more than 1/2 the
width of the bone; scalp or dura may or may not be torn.
* If the scalp is lacerated and the dura is torn, it leaves
the brain exposed to the environment which can lead to