ADULT/ FAMILY HEALTH III EXAM 2 CASE
STUDIES QUIZZES WITH COMPLETE
VERIFIED ANSWERS
A and B - The chest tube tray setup is needed for treatment of the hemopneumothorax. The patient is
tachycardic, which could be from the low oxygen level; however, the patient's blood pressure has been
decreasing and the patient's heart rate continues to become more tachycardic even after the chest tube
placement. This sends red flags that there is bleeding going on, and with the second GSW so close to the
kidney and liver, which are very vascular, one must worry about the patient exsanguinating from these
injuries. Thus, the rapid infuser should be prepared in case it needs to be infused quickly. The patient is
talking and has no need for intubation or open chest massage. MRI is not indicated in this case - faster
evaluation tools such as the fast exam is necessary. - answer ✔✔-Chapter 70
On a hot saturday summer night, three male teenagers/ young adults are at a friend's house for a house
party. As they are leaving the house around 1 a.m., a vehicle drives by and starts shooting at them and
the house. One male is shot in the head, another male is able to run away and call 911, and the third is
shot in the torse. Upon the arrival of emergency medical personnel at the scene, the team finds two
victims. The first victim is found to be shot in the head and has no vital signs or signs of life. He is
declared dead at the scene. the second victim is found to have two gunshot wounds. The EMS team
quickly stabilizes, packages, and starts to transport the patient to the nearest trauma center.
Prehospital EMS consultation to the level I hospital emergency department (ED) and trauma center: 19-
year-old male with a gunshot wound to the right shoulder and lower back
Vital signs:
Heart rate - 120 b
A, B, and C - The patient is at risk for hypovolemia and infection due to the GSW and airway compromise
due to the hemopneumothorax. - answer ✔✔-Chapter 70
2. The nurse recognizes this patient is at risk for developing which complications? (Select all that apply)
, A. infection
B. airway compromise
C. hypovolemia
D. rhabdomyolysis
E. seizures
B -Hypothermia is implicated in initiating the lethal trauma triad of death. - answer ✔✔-Chapter 70
3. What symptom should prompt a quick intervention from the nurse in this case?
A. hypertensive
B. hypothermic
C. anxious
D. tachycardic
A, B, C, and E - In a level 1 trauma center, typically all expect a laboratory technician is at the bedside or
readily available. The laboratory technician is in the lab ready to run tests. - answer ✔✔-Chapter 70
4. In addition to the trauma surgeon and nurse, what other members of the team are essential at the
bedside in this patient's care? (Select all that apply)
A. airway provider
B. radiology
C. clinical technician
D. laboratory technician
E. pharmacist
A, B, and D - The nurse is responsible for all expect C and E - providers or physicians manage those
activities. - answer ✔✔-Chapter 70
5. The nurse is responsible for which of the following functions as a part of the trauma team? (Select all
that apply)
STUDIES QUIZZES WITH COMPLETE
VERIFIED ANSWERS
A and B - The chest tube tray setup is needed for treatment of the hemopneumothorax. The patient is
tachycardic, which could be from the low oxygen level; however, the patient's blood pressure has been
decreasing and the patient's heart rate continues to become more tachycardic even after the chest tube
placement. This sends red flags that there is bleeding going on, and with the second GSW so close to the
kidney and liver, which are very vascular, one must worry about the patient exsanguinating from these
injuries. Thus, the rapid infuser should be prepared in case it needs to be infused quickly. The patient is
talking and has no need for intubation or open chest massage. MRI is not indicated in this case - faster
evaluation tools such as the fast exam is necessary. - answer ✔✔-Chapter 70
On a hot saturday summer night, three male teenagers/ young adults are at a friend's house for a house
party. As they are leaving the house around 1 a.m., a vehicle drives by and starts shooting at them and
the house. One male is shot in the head, another male is able to run away and call 911, and the third is
shot in the torse. Upon the arrival of emergency medical personnel at the scene, the team finds two
victims. The first victim is found to be shot in the head and has no vital signs or signs of life. He is
declared dead at the scene. the second victim is found to have two gunshot wounds. The EMS team
quickly stabilizes, packages, and starts to transport the patient to the nearest trauma center.
Prehospital EMS consultation to the level I hospital emergency department (ED) and trauma center: 19-
year-old male with a gunshot wound to the right shoulder and lower back
Vital signs:
Heart rate - 120 b
A, B, and C - The patient is at risk for hypovolemia and infection due to the GSW and airway compromise
due to the hemopneumothorax. - answer ✔✔-Chapter 70
2. The nurse recognizes this patient is at risk for developing which complications? (Select all that apply)
, A. infection
B. airway compromise
C. hypovolemia
D. rhabdomyolysis
E. seizures
B -Hypothermia is implicated in initiating the lethal trauma triad of death. - answer ✔✔-Chapter 70
3. What symptom should prompt a quick intervention from the nurse in this case?
A. hypertensive
B. hypothermic
C. anxious
D. tachycardic
A, B, C, and E - In a level 1 trauma center, typically all expect a laboratory technician is at the bedside or
readily available. The laboratory technician is in the lab ready to run tests. - answer ✔✔-Chapter 70
4. In addition to the trauma surgeon and nurse, what other members of the team are essential at the
bedside in this patient's care? (Select all that apply)
A. airway provider
B. radiology
C. clinical technician
D. laboratory technician
E. pharmacist
A, B, and D - The nurse is responsible for all expect C and E - providers or physicians manage those
activities. - answer ✔✔-Chapter 70
5. The nurse is responsible for which of the following functions as a part of the trauma team? (Select all
that apply)
