MDC 4 FINAL EXAM with correct
answers
The \"E" \in \the \primary \survey \stands \for \Exhale.
TRUE/FALSE \- \ANSWERS✔✔ \FALSE
"E" \stands \for \exposure
Primary \survey \(ABCDE) \- \ANSWERS✔✔ \A: \airway/cervical \spine
B: \breathing
C: \circulation
D: \disposition \(checking \neuro \status/GCS)
E: \exposure
Assessments \findings \for \airway \and \cervical \spine.... \- \ANSWERS✔✔ \-airway \open
-jaw \thrust \monuver \
-head \tilt
When \used \jaw \thrust \monuver \instead \of \tilting \the \head.... \- \ANSWERS✔✔ \neck \injury--any \kind \of
\cervical \neck \injury
Client \has \asymmetrical \chest \movement \and \complaining \SOB. \You \suppect \a \pneumothroax, \what \is
\the \intervention.... \- \ANSWERS✔✔ \chest \tube
Treatment \for \frostbite \include \all \except:
A. \Warm \bath
B. \IV \hydration
C. \administer \tetanus \vaccine
,D. \warm \with \friction \- \ANSWERS✔✔ \D. \warm \with \friction--that \can \cause \more \damage \to \the \tissue
4 \stages \of \Frostbite \- \ANSWERS✔✔ \1. \redness
2. \fluid-filled, \milky \blisters
3. \bloody \blisters
4. \tissue \necrosis
Frostbite \- \ANSWERS✔✔ \-can \occur \when \the \skin \is \not \properly \protected \from \extremes \in \cold
\temp.
-frostbite \has \degrees, \much \like \burns, \with \fourth-degree \being \the \deepest
-at \stage \four, \gangrene \may \develop, \and \amputation \may \be \necessary
Frostbite \Tx \- \ANSWERS✔✔ \-warm \bath
-IV \hydration
-administer \tetanus \vaccine
-warm \gauze \or \dressings \loosly
-stop \the \exposure \to \cold
-if \the \client \has \frostnip \don't \rub \the \skin \to \rewarm
-for \frostbite \the \client \is \submerged \in \a \warm \tub \for \rewarming \
-the \rewarming \process \in \painful
-administer \analgesics
-watch \for \the \development \of \compartment \syndrome \from \the \swelling
-severe \frostbite \is \managed \much \like \a \thermal \burn
Clinical \manifestations \of \Heat \Stroke \include:
A. \hot \skin, \oliguria, \ALOC
B. \paradoxical \chest \movement
C. \red \skin \with \blisters
, D. \shivering \- \ANSWERS✔✔ \A. \hot \skin, \oliguria, \ALOC
-temp. \goes \up \to \104 \degrees
If \a \patient \has \heat \stroke \and \ALOC \do \you \want \to \feed \them? \- \ANSWERS✔✔ \NO! \aspiration \risk
If \heat \exhaustion \is \not \treated, \it \can \progress \to.... \- \ANSWERS✔✔ \progress \to \heat \stroke
Heat \stroke \- \ANSWERS✔✔ \is \a \true \medical \emergency \associated \with \a \high \mortality \rate
Heat \Stroke \interventions \- \ANSWERS✔✔ \-is \an \medical \emergency
-start \with \fluids
-watch \dysthrimas, \tachycardia
-put \ice/cold \packs \on \groin, \abdomen, \under \arms, \neck
-cool \fluids
-don't \feed \the \patient
-bring \to \shady \area
-put \water \on \body
-call \911
-if \they \shiver \give \BENZOS
-IV \sline \in \hospital
-electrolyte \labs
-expect \high \H/H \r/t \hemoconcentration \
-O2
-REMEMBER! \they \are \at \risk \for \hypovolemic \shock
Heat \stroke \causes \& \Sx \- \ANSWERS✔✔ \-body \temp. \rises \to \about \104F
-Exertional \heat \stroke
--a \person \wearing \too \many \clothes \while \doing \strenuous \physical \activity
answers
The \"E" \in \the \primary \survey \stands \for \Exhale.
TRUE/FALSE \- \ANSWERS✔✔ \FALSE
"E" \stands \for \exposure
Primary \survey \(ABCDE) \- \ANSWERS✔✔ \A: \airway/cervical \spine
B: \breathing
C: \circulation
D: \disposition \(checking \neuro \status/GCS)
E: \exposure
Assessments \findings \for \airway \and \cervical \spine.... \- \ANSWERS✔✔ \-airway \open
-jaw \thrust \monuver \
-head \tilt
When \used \jaw \thrust \monuver \instead \of \tilting \the \head.... \- \ANSWERS✔✔ \neck \injury--any \kind \of
\cervical \neck \injury
Client \has \asymmetrical \chest \movement \and \complaining \SOB. \You \suppect \a \pneumothroax, \what \is
\the \intervention.... \- \ANSWERS✔✔ \chest \tube
Treatment \for \frostbite \include \all \except:
A. \Warm \bath
B. \IV \hydration
C. \administer \tetanus \vaccine
,D. \warm \with \friction \- \ANSWERS✔✔ \D. \warm \with \friction--that \can \cause \more \damage \to \the \tissue
4 \stages \of \Frostbite \- \ANSWERS✔✔ \1. \redness
2. \fluid-filled, \milky \blisters
3. \bloody \blisters
4. \tissue \necrosis
Frostbite \- \ANSWERS✔✔ \-can \occur \when \the \skin \is \not \properly \protected \from \extremes \in \cold
\temp.
-frostbite \has \degrees, \much \like \burns, \with \fourth-degree \being \the \deepest
-at \stage \four, \gangrene \may \develop, \and \amputation \may \be \necessary
Frostbite \Tx \- \ANSWERS✔✔ \-warm \bath
-IV \hydration
-administer \tetanus \vaccine
-warm \gauze \or \dressings \loosly
-stop \the \exposure \to \cold
-if \the \client \has \frostnip \don't \rub \the \skin \to \rewarm
-for \frostbite \the \client \is \submerged \in \a \warm \tub \for \rewarming \
-the \rewarming \process \in \painful
-administer \analgesics
-watch \for \the \development \of \compartment \syndrome \from \the \swelling
-severe \frostbite \is \managed \much \like \a \thermal \burn
Clinical \manifestations \of \Heat \Stroke \include:
A. \hot \skin, \oliguria, \ALOC
B. \paradoxical \chest \movement
C. \red \skin \with \blisters
, D. \shivering \- \ANSWERS✔✔ \A. \hot \skin, \oliguria, \ALOC
-temp. \goes \up \to \104 \degrees
If \a \patient \has \heat \stroke \and \ALOC \do \you \want \to \feed \them? \- \ANSWERS✔✔ \NO! \aspiration \risk
If \heat \exhaustion \is \not \treated, \it \can \progress \to.... \- \ANSWERS✔✔ \progress \to \heat \stroke
Heat \stroke \- \ANSWERS✔✔ \is \a \true \medical \emergency \associated \with \a \high \mortality \rate
Heat \Stroke \interventions \- \ANSWERS✔✔ \-is \an \medical \emergency
-start \with \fluids
-watch \dysthrimas, \tachycardia
-put \ice/cold \packs \on \groin, \abdomen, \under \arms, \neck
-cool \fluids
-don't \feed \the \patient
-bring \to \shady \area
-put \water \on \body
-call \911
-if \they \shiver \give \BENZOS
-IV \sline \in \hospital
-electrolyte \labs
-expect \high \H/H \r/t \hemoconcentration \
-O2
-REMEMBER! \they \are \at \risk \for \hypovolemic \shock
Heat \stroke \causes \& \Sx \- \ANSWERS✔✔ \-body \temp. \rises \to \about \104F
-Exertional \heat \stroke
--a \person \wearing \too \many \clothes \while \doing \strenuous \physical \activity
