MDC4 Final Exam GUARANTEED PASS!!
What does triaging do? - (ANSWER)*acts as gatekeeper*
helps prioritize patient care based on illness and severity level
According to triage, what patients would be seen firtst - (ANSWER)highest acuity patients will receive
quickest intervention
(Most ill/severe will get seen first)
What is a good model for triaging patients? - (ANSWER)ABCs
Is hospital triaging the same as mass casualty triaging? - (ANSWER)NO
Which triage situation uses tags? - (ANSWER)mass casualties
what are the categories of triage? - (ANSWER)- emergent
- urgent
- nonurgent
- primary survey
what classifies a patient as emergent according to triage - (ANSWER)- life threatening injuries
- needs immediate treatment
what patient conditions warrant an emergent status of triage - (ANSWER)- respiratory distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals
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,what classifies a patient as urgent according to triage - (ANSWER)patient should be treated quickly but
there is not and immediate threat to life
what patient conditions warrant an urgent status for triage - (ANSWER)- severe abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)
what classifies a patient as nonurgent according to triage - (ANSWER)patient can wait several hours
without a risk to life
what patient conditions warrant a nonurgent status for triage - (ANSWER)- skin rash
- strains/sprains
- colds
- simple fracture
what is a primary survey that should be performed while triaging? - (ANSWER)ABCDE
what does ABCDE stand for in triaging patients - (ANSWER)A: Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure
what does the "A" refer to in ABCDE - (ANSWER)airway, cervical spine
- patent airway
- immobilize spine
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,**do NOT move patient
what does the "B" refer to in ABCDE - (ANSWER)breathing
- assess sounds
- assess chest wall movement
what does the "C" refer to in ABCDE - (ANSWER)circulation
- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding
what does the "D" refer to in ABCDE - (ANSWER)disability
*LOC
what does the "E" refer to in ABCDE - (ANSWER)exposure
- get clothes off
- use blankets to prevent hypothermia
what is the one exception to ABCDE? - (ANSWER)in excessive bleeding, you would prioritize "C" before
"AB"
what is a secondary survey? - (ANSWER)comprehensive head to toe assessment
if warranted during the secondary survey, what would a nurse likely do? - (ANSWER)- insert NG tube
- insert catheter
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, - prep for diagnostics
what does drowning lead to? - (ANSWER)leads to loss of surfactant in lungs which causes alveolar
collapse and pulmonary edema
is dehydration common in heat exhaustion? - (ANSWER)YES
what can major diaphoresis cause? - (ANSWER)severe dehydration and hyponatremia
if heat exhaustion goes untreated, what can it cause? - (ANSWER)heat stroke
what are the s/s of heat exhaustion - (ANSWER)-dehydration
-decrease in blood volume
-decrease in BP
-tachycardia
what is the first intervention for a person expected to have heat exhaustion? - (ANSWER)stop their
physical activity and transfer to a cool place
what is the quickest way to reduce someone's temperature? - (ANSWER)- remove clothing
- remove bed linen
what interventions are there for cooling patients down? - (ANSWER)- cold pack on the neck, chest,
abdomen, and groin
- soak in cool water
when rehydrating someone with heat exhaustion, should you use water or a sports drink/oral reydration
solution? - (ANSWER)Sports drink/oral hydration solution
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What does triaging do? - (ANSWER)*acts as gatekeeper*
helps prioritize patient care based on illness and severity level
According to triage, what patients would be seen firtst - (ANSWER)highest acuity patients will receive
quickest intervention
(Most ill/severe will get seen first)
What is a good model for triaging patients? - (ANSWER)ABCs
Is hospital triaging the same as mass casualty triaging? - (ANSWER)NO
Which triage situation uses tags? - (ANSWER)mass casualties
what are the categories of triage? - (ANSWER)- emergent
- urgent
- nonurgent
- primary survey
what classifies a patient as emergent according to triage - (ANSWER)- life threatening injuries
- needs immediate treatment
what patient conditions warrant an emergent status of triage - (ANSWER)- respiratory distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals
Page 1 of 38
,what classifies a patient as urgent according to triage - (ANSWER)patient should be treated quickly but
there is not and immediate threat to life
what patient conditions warrant an urgent status for triage - (ANSWER)- severe abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)
what classifies a patient as nonurgent according to triage - (ANSWER)patient can wait several hours
without a risk to life
what patient conditions warrant a nonurgent status for triage - (ANSWER)- skin rash
- strains/sprains
- colds
- simple fracture
what is a primary survey that should be performed while triaging? - (ANSWER)ABCDE
what does ABCDE stand for in triaging patients - (ANSWER)A: Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure
what does the "A" refer to in ABCDE - (ANSWER)airway, cervical spine
- patent airway
- immobilize spine
Page 2 of 38
,**do NOT move patient
what does the "B" refer to in ABCDE - (ANSWER)breathing
- assess sounds
- assess chest wall movement
what does the "C" refer to in ABCDE - (ANSWER)circulation
- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding
what does the "D" refer to in ABCDE - (ANSWER)disability
*LOC
what does the "E" refer to in ABCDE - (ANSWER)exposure
- get clothes off
- use blankets to prevent hypothermia
what is the one exception to ABCDE? - (ANSWER)in excessive bleeding, you would prioritize "C" before
"AB"
what is a secondary survey? - (ANSWER)comprehensive head to toe assessment
if warranted during the secondary survey, what would a nurse likely do? - (ANSWER)- insert NG tube
- insert catheter
Page 3 of 38
, - prep for diagnostics
what does drowning lead to? - (ANSWER)leads to loss of surfactant in lungs which causes alveolar
collapse and pulmonary edema
is dehydration common in heat exhaustion? - (ANSWER)YES
what can major diaphoresis cause? - (ANSWER)severe dehydration and hyponatremia
if heat exhaustion goes untreated, what can it cause? - (ANSWER)heat stroke
what are the s/s of heat exhaustion - (ANSWER)-dehydration
-decrease in blood volume
-decrease in BP
-tachycardia
what is the first intervention for a person expected to have heat exhaustion? - (ANSWER)stop their
physical activity and transfer to a cool place
what is the quickest way to reduce someone's temperature? - (ANSWER)- remove clothing
- remove bed linen
what interventions are there for cooling patients down? - (ANSWER)- cold pack on the neck, chest,
abdomen, and groin
- soak in cool water
when rehydrating someone with heat exhaustion, should you use water or a sports drink/oral reydration
solution? - (ANSWER)Sports drink/oral hydration solution
Page 4 of 38
