TNCC 9th Edition Test Prep | 100% Correct Answers | Verified | Latest 2024 Version

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? - Report your suspicion of maltreatment in accordance with local regulations A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question? - Straight catheter for urine sample A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardropshaped left pupil is noted on exam. What type of injury is suspected? - globe rupture 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? - Apply a splint and elevate the extremity ABOVE the level of the heart A 49-year-old restrained driver involved in a motor vehicle collision present to the trauma center complaining of abdominal, pelvis, and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? - diagnostic peritoneal lavage A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the follow is the priority intervention for this patient? - Expedite transfer to the closest trauma center