of 16 72: Emergency Nursing
Chapter 72: (Suddarth)
Emergency Nursing (Suddarth)
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1. 1. Which patient should the nurse pri- Ans: A
oritize as needing emergent treatment, Feedback: The patient with blunt chest trau-
assuming no other injuries are present ma possibly has a compromised airway. Estab-
except the ones outlined below? lishment and maintenance of a patent airway
A) A patient with a blunt chest trauma and adequate ventilation is prioritized over other
with some difficulty breathing health problems, including skeletal injuries and
B) A patient with a sore neck who was changes in cognition.
immobilized in the field on a backboard
with a cervical collar
C) A patient with a possible fractured
tibia with adequate pedal pulses
D) A patient with an acute onset of con-
fusion
2. 2. The nurse observes that the family : B Feedback: Remorse and guilt are natural
members of a patient who was injured processes of the stages of a crisis and should be
in an accident are blaming each other facilitated for the family members to process the
for the circumstances leading up to the crisis. The familys sense of blame and respon-
accident. The nurse appropriately lets sibility are more suggestive of guilt than anger,
the family members express their feel- grief, or anxiety.
ings of responsibility, while explaining
that there was probably little they could
do to prevent the injury. In what stage
of crisis is this family? A) Anxiety and
denial B) Remorse and guilt C) Anger D)
Grief
3. 3. A patient is brought to the ED by ans: B Feedback: Penetrating abdominal wounds
ambulance with a gunshot wound to have a high incidence of injury to hollow organs,
the abdomen. The nurse knows that the especially the small bowel. The liver is also in-
most common hollow organ injured in jured frequently, but it is a solid organ.
this type of injury is what?
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of 16 72: Emergency Nursing
Chapter 72: (Suddarth)
Emergency Nursing (Suddarth)
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A) Liver
B) Small bowel
C) Stomach
D) Large bowel
4. 4. A patient has been brought to the ED ans: A Feedback: Once immediate threats to life
with multiple trauma after a motor vehi- have been corrected, a rapid physical examina-
cle accident. After immediate threats to tion is done to identify injuries and priorities of
life have been addressed, the nurse and treatment. Health education is initiated later in
trauma team should take what action? the care process and diagnostic imaging would
A) Perform a rapid physical assess- take place after a rapid physical assessment. It
ment. is not the care teams responsibility to determine
B) Initiate health education. the circumstances of the accident.
C) Perform diagnostic imaging.
D) Establish the circumstances of the
accident.
5. 5. The nursing educator is reviewing the : B Feedback: Heat stroke is manifested by an-
signs and symptoms of heat stroke with hidrosis confusion, bizarre behavior, coma, ele-
a group of nurses who provide care in vated body temperature, hot dry skin, tachyp-
a desert region. The educator should nea, hypotension, and tachycardia. This health
describe what sign or symptom? A) Hy- problem is not associated with anhidrosis or
pertension with a wide pulse pressure Cheyne-Stokes respirations.
B) Anhidrosis C) Copious diuresis - 1351
D) Cheyne-Stokes respirations
6. 6. A patient is brought to the ED by am- ans: C Feedback: A patient who has swallowed
bulance after swallowing highly acidic an acidic substance, such as toilet bowl cleaner,
toilet bowl cleaner 2 hours earlier. The may be given milk or water to drink for dilution.
patient is alert and oriented. What is Gastric lavage must be performed within 1 hour
the care teams most appropriate treat- of ingestion. A psychiatric consult may be consid-
ment? ered once the patient is physically stable and it is
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, Page 3 Chapter
of 16 72: Emergency Nursing
Chapter 72: (Suddarth)
Emergency Nursing (Suddarth)
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A) Administering syrup of ipecac deemed appropriate by the physician. Syrup of
B) Performing a gastric lavage ipecac is no longer used in clinical settings.
C) Giving milk to drink
D) Referring to psychiatry
7. 7. A patient is admitted to the ED with ans: A Feedback: Hypoglycemia can mimic alco-
suspected alcohol intoxication. The ED hol intoxication and should be assessed in a pa-
nurse is aware of the need to assess for tient suspected of alcohol intoxication. Potassium
conditions that can mimic acute alcohol imbalances, depression, and poison ingestion
intoxication. In light of this need, the are not noted to mimic the characteristic signs
nurse should perform what action? and symptoms of alcohol intoxication.
A) Check the patients blood glucose lev-
el.
B) Assess for a documented history of
major depression.
C) Determine whether the patient has
ingested a corrosive substance.
D) Arrange for assessment of serum
potassium levels.
8. 8. The paramedics bring a patient who : A Feedback: The patients privacy and sensitivity
has suffered a sexual assault to the ED. must be respected, because the patient will be
What is important for the sexual as- experiencing a stress response to the assault.
sault nurse examiner to do when as- Pubic hair is combed or trimmed for sampling.
sessing a sexual assault victim? A) Re- Paper bags are used for evidence collection be-
spect the patients privacy during as- cause plastic bags retain moisture, which pro-
sessment. B) Shave all pubic hair for motes mold and mildew that can destroy evi-
laboratory analysis. C) Place items for dence. Bathing the patient before the examina-
evidence in plastic bags. D) Bathe the tion would destroy or remove key evidence.
patient before the examination.
9.
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