A 20 year old male has a large laceration to his wrist. He is holding a blood- soaked towel over the wound, but it continues to bleed rapidly. You should A. Apply pressure to the brachial artery.
B. Administer high-flow supplemental oxygen
C. Apply a tourniquet proximal to the wrist D. Wrap the towel with pressure bandages - correct answer Apply a tourniquet proximal to the wrist
Patients develop septic shock secondary to:
A. poor vessel function and severe volume loss
B. weak vessel tone caused by nervous system damage
C. failures of the blood vessels to adequately dilate
D. an infection that weakens cardiac contractions - correct answer A. poor vessel function and severe volume loss
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST appropriate treatment for this patient includes:
A. oxygen via nonrebreathing mask, blankets for warmth, and elevation of his head B. oxygen via nonrebreathing mask, thermal management, and elevation of his legs
C. assisted ventilation, preventing hyperthermia, and elevating his lower extremities
D. assisted ventilation, thermal management, and elevation of the lower extremities - correct answer D. assisted ventilation, thermal management, and elevation of the lower extremities
a 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. she has signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. which of the following interventions will provide this patient with the greatest chance of survival
A. intravenous fluid administration
B. high-flow oxygen administration
C. full immobilization of her spine
D. rapid transport to a trauma center - correct answer D. rapid transport to a trauma center
Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:
A. psychogenic shock
B. vasovagal shock
C. neurologic shock
D. psychogenic shock - correct answer D. psychogenic shock
when assessing a patient with signs and symptoms of shock, it is important to remember that