NURS 5355 Final Exam Questions with Correct Answers | Grade A

ATLS - Initial Assessment Ans: - preparation for trauma patients in the clinical setting - triage - primary survey - adjuncts to the primary survey - consideration for patient transfer - the secondary survey - adjuncts to the secondary survey - continued postresuscitation monitoring and reevaluation - definitive care based on the injuries and required needs of the patient ATLS Preparation: Prehospital Ans: • Goal in the prehospital setting: to expedite treatment in the field. • Providers should focus on airway maintenance, control of external bleeding and shock, immobilization of the patient, and the immediate transport. 2 • Providers in the field should be ready to report the *time of injury, events related to the injury, and patient history*. ATLS Preparation: Hospital Ans: • designated resuscitation area • airway equipment that is organized, tested, and easily accessible • warmed IV crystalloid fluids • monitoring devices • a protocol to summon additional medical assistance such as lab and radiology • transfer agreements with verified trauma centers ATLS Primary Survey Ans: A - *A*irway maintenance with restriction of cervical spine motion B - *B*reathing and ventilation C - *C*irculation with hemorrhage control D - *D*isability (assessment of neurological status) E - *E*xposure/*E*nvironmental control **The abnormality posing the greatest threat to life is addressed first** 3 ATLS Airway Management Ans: Assess airway patency - inspection for foreign bodies - identification of facial, mandibular, and/or tracheal/laryngeal fractures that could result in airway obstruction - suctioning to clear accumulated blood or secretions that may lead to airway obstruction *All this should be done while restricting cervical spine motion* ATLS Breathing & Ventilation Ans: • Airway patency does not ensure adequate ventilation. • To adequately assess for breathing and ventilation issues, you must expose the patient's neck and chest. Auscultate to ensure gas exchange in the lungs and inspect and palpate to detect chest wall injuries • All patients should receive supplemental oxygen via a mask reservoir if not intubated. ATLS Circulation & Hemorrhage Contro