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Expedite transfer to the closest trauma center - ANSWER>>A 56 y/o M involved in a
MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain.
His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask.
Which is the priority intervention for this patient?
a pertinent medical hx is crucial - ANSWER>>Which of the following considerations is
the most important when caring for a geriatric trauma pt?
Mitigation - ANSWER>>Following a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a
future disaster . Which phase of the disaster life cycle does this describe?
smell of alcohol on breath - ANSWER>>EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues - ANSWER>>What is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWER>>Which of the following is a component of the trauma triad of
death?
Complete - ANSWER>>EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These assessment
findings are most consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - ANSWER>>Which of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
, insert an oropharyngeal airway if there is no gag reflex - ANSWER>>During the
primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed next?
globe rupture - ANSWER>>A 35 y/o M presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?
compensated - ANSWER>>A trauma pt is restless and repeatedly asking "where am i?"
VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP
104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANSWER>>An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - ANSWER>>When is the tertiary survey completed fora
trauma pt?
pressure - ANSWER>>An intubated and sedated pt in the ED has multiple extremity
injuries with the potential for causing compartment syndrome. What is the most
reliable indication of compartment syndrome in a patient who is unconscious?
worsening pneumothorax - ANSWER>>Which of the following is possible complication
of positive-pressure ventilation?
pelvic stability - ANSWER>>the most reassuring finding for a male pt with hip pain
after a fall is which of the following?
narrowed - ANSWER>>Which of the following pulse pressures indicate early
hypovolemic shock?