C. Notify the physician
You are caring for a patient who
was thrown from a bike and was
not wearing a helmet. While
performing the head-to-toe
assessment, you note clear
drainage from the right ear.
Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-
tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the
exam.
, A. Initiate transfer to a trauma center
A patient is brought to the
emergency department of a rural
hospital following a high-speed
motor vehicle collision. When
significant abdominal and pelvic
injuries are noted in the primary
survey, what is the priority
intervention?
A. Initiate transfer to a trauma
center
B. Attempt family notification
C. Obtain additional imaging
studies
D. Place an indwelling urinary
catheter
, A. Initiate cervical spine stabilization
An adult who fell from a second
story roof is brought to the
emergency department by
private vehicle. The patient is
confused with unlabored
respirations and has strong,
palpable radial pulses. There is
an open wound in proximity to
an obvious deformity of the left
lower extremity. What is the
priority intervention?
A. Initiate cervical spine
stabilization
B. Apply a splint to the lower
extremity
C. Put the patient on portable
oxygen.
D. Log roll the patient onto a
spine board
, A. Decrease the rate of manual ventilation.
An adult patient who sustained a
severe head trauma has been
intubated and is being manually
ventilated via a bag-mask device
at a rate of 18 breaths/minute.
The patient has received one
intravenous fluid bolus of 500
mL of warmed isotonic
crystalloid solution. The PaCO2
is 30 mm Hg (4.0 kPa), and the
pulse oximetry is 92%. BP is
142/70 mm Hg. What is the most
important intervention to manage
the cerebral blood flow?
A. Decrease the rate of manual
ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube
placement.
D. Increase the amount of
oxygen delivered.
You are caring for a patient who
was thrown from a bike and was
not wearing a helmet. While
performing the head-to-toe
assessment, you note clear
drainage from the right ear.
Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-
tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the
exam.
, A. Initiate transfer to a trauma center
A patient is brought to the
emergency department of a rural
hospital following a high-speed
motor vehicle collision. When
significant abdominal and pelvic
injuries are noted in the primary
survey, what is the priority
intervention?
A. Initiate transfer to a trauma
center
B. Attempt family notification
C. Obtain additional imaging
studies
D. Place an indwelling urinary
catheter
, A. Initiate cervical spine stabilization
An adult who fell from a second
story roof is brought to the
emergency department by
private vehicle. The patient is
confused with unlabored
respirations and has strong,
palpable radial pulses. There is
an open wound in proximity to
an obvious deformity of the left
lower extremity. What is the
priority intervention?
A. Initiate cervical spine
stabilization
B. Apply a splint to the lower
extremity
C. Put the patient on portable
oxygen.
D. Log roll the patient onto a
spine board
, A. Decrease the rate of manual ventilation.
An adult patient who sustained a
severe head trauma has been
intubated and is being manually
ventilated via a bag-mask device
at a rate of 18 breaths/minute.
The patient has received one
intravenous fluid bolus of 500
mL of warmed isotonic
crystalloid solution. The PaCO2
is 30 mm Hg (4.0 kPa), and the
pulse oximetry is 92%. BP is
142/70 mm Hg. What is the most
important intervention to manage
the cerebral blood flow?
A. Decrease the rate of manual
ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube
placement.
D. Increase the amount of
oxygen delivered.
