Terms in this set (50)
A) report your suspicion of the maltreatment in accordance with local
regulations
A 5-year old child presents to the
ED with bruises to the upper arms
and buttocks in various stages of
healing and multiple small, clean,
round burns to the back. There are
no abnormalities found based on the
pediatric assessment triangle or
primary survey. Which of the
following is the priority nursing
intervention?
A) report your suspicion of the
maltreatment in accordance with
local regulations
B) apply ice to the bruises and
consult wound care
C) engage in therapeutic
communication to determine the
MOI
D) provide the family with injury
prevention recourses
, C) straight cath for urine sample
A 20-year old male presents to the
ED c/o severe lower abd pain after
landing hard on the bicycle cross
bars which performing an aerial
BMX maneuver. Secondary
assessment reveals lower abd
tenderness and scrotal ecchymosis.
Which of the following orders
would the nurse questions?
A) Fast exam
B) CT scan
C) straight cath for urine sample
D) ice and elevation of the scrotum
, B) globe rupture
A 35-year old male presents with
facial trauma after bring struck in
the face with a baseball. a tear-drop
shaped left pupil is noted on exam.
What type of injury is suspected?
A) oculomotor nerve palsy
B) globe rupture ***
C) Uncal herniation
D) retinal detachment
, B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE
HEART
A 36-year old female has a
deformity of the left wrist after a
fall. She is reluctant to move her
hand due to pain. Which of the
following is the most appropriate
intervention?
A) apply a sling and elevate the
extremity to the level of the heart.
B) apply a splint and elevate above
the level of the heart
C) Apply a sling and elevate the
extremity above the level of the
heart
D) apply a splint and elevate the
extremity to the level of the heart.
A) report your suspicion of the maltreatment in accordance with local
regulations
A 5-year old child presents to the
ED with bruises to the upper arms
and buttocks in various stages of
healing and multiple small, clean,
round burns to the back. There are
no abnormalities found based on the
pediatric assessment triangle or
primary survey. Which of the
following is the priority nursing
intervention?
A) report your suspicion of the
maltreatment in accordance with
local regulations
B) apply ice to the bruises and
consult wound care
C) engage in therapeutic
communication to determine the
MOI
D) provide the family with injury
prevention recourses
, C) straight cath for urine sample
A 20-year old male presents to the
ED c/o severe lower abd pain after
landing hard on the bicycle cross
bars which performing an aerial
BMX maneuver. Secondary
assessment reveals lower abd
tenderness and scrotal ecchymosis.
Which of the following orders
would the nurse questions?
A) Fast exam
B) CT scan
C) straight cath for urine sample
D) ice and elevation of the scrotum
, B) globe rupture
A 35-year old male presents with
facial trauma after bring struck in
the face with a baseball. a tear-drop
shaped left pupil is noted on exam.
What type of injury is suspected?
A) oculomotor nerve palsy
B) globe rupture ***
C) Uncal herniation
D) retinal detachment
, B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE
HEART
A 36-year old female has a
deformity of the left wrist after a
fall. She is reluctant to move her
hand due to pain. Which of the
following is the most appropriate
intervention?
A) apply a sling and elevate the
extremity to the level of the heart.
B) apply a splint and elevate above
the level of the heart
C) Apply a sling and elevate the
extremity above the level of the
heart
D) apply a splint and elevate the
extremity to the level of the heart.
