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Exam (elaborations)

NSG 229 Exam 2 Questions With Correct Answers

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©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 1 | P a g e NSG 229 Exam 2 Questions With Correct Answers Blunt Trauma - answerStriking or being struck by an object Appears minor Penetrating Trauma - answerForeign object impales or passes through the body Open wound Chest Injuries - answerPulmonary contusion Rib fracture Flail chest Pneumothorax Hemothorax Tracheobronchial trauma Chest Trauma Assessment/Findings - answerRespiratory: dyspnea, cough, hemoptysis, tracheal deviation, diminished breath sounds, hypoxemia Cardiac: rapid thready pulse, hypotension, muffled heart sounds, asymmetric blood pressure, narrowed pulse pressure Skin: bruising, abrasions, wound, hypoxia, cyanosis, asymmetric chest movement, subcutaneous emphysema Chest Trauma Initial Assessment - answerMonitor & apply oxygen SpO2 90% IV access and fluid resuscitation Remove clothing ©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 2 | P a g e Apply occlusive dressing Stabilize impaled objects (DO NOT REMOVE) Needle decompression: midclavicular line, 2nd/3rd intercoastal space Pulmonary Contusion - answerBruise of the lung without puncture caused by chest trauma Capillary damage causes blood/fluids to seep into lung tissue Pulmonary Contusion Signs & Symptoms - answerAsymptomatic (early) Respiratory failure Hemoptysis Diminished breath sounds Crackles Wheezes Tachycardia Tachypnea Dry cough Dullness to percussion Bruising over injury site Pulmonary Contusion Diagnostics - answerVisual assessment Chest x-ray Pulmonary Contusion Treatment - answerFocused on maintaining ventilation and oxygenation Nursing Interventions: IV fluids, High fowler's or good lung down, frequent respiratory assessment, prevent ARDS Rib Fracture Signs & Symptoms - answerPain with movement Splints chest defensively Shallow breathing

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©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM


NSG 229 Exam 2 Questions With Correct
Answers


Blunt Trauma - answer✔Striking or being struck by an object
Appears minor

Penetrating Trauma - answer✔Foreign object impales or passes through the body
Open wound

Chest Injuries - answer✔Pulmonary contusion
Rib fracture
Flail chest
Pneumothorax
Hemothorax
Tracheobronchial trauma

Chest Trauma Assessment/Findings - answer✔Respiratory: dyspnea, cough, hemoptysis,
tracheal deviation, diminished breath sounds, hypoxemia
Cardiac: rapid thready pulse, hypotension, muffled heart sounds, asymmetric blood pressure,
narrowed pulse pressure
Skin: bruising, abrasions, wound, hypoxia, cyanosis, asymmetric chest movement,
subcutaneous emphysema

Chest Trauma Initial Assessment - answer✔Monitor & apply oxygen
SpO2 > 90%
IV access and fluid resuscitation
Remove clothing


1|Page

, ©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM

Apply occlusive dressing
Stabilize impaled objects (DO NOT REMOVE)
Needle decompression: midclavicular line, 2nd/3rd intercoastal space

Pulmonary Contusion - answer✔Bruise of the lung without puncture caused by chest trauma
Capillary damage causes blood/fluids to seep into lung tissue

Pulmonary Contusion Signs & Symptoms - answer✔Asymptomatic (early)
Respiratory failure
Hemoptysis
Diminished breath sounds
Crackles
Wheezes
Tachycardia
Tachypnea
Dry cough
Dullness to percussion
Bruising over injury site

Pulmonary Contusion Diagnostics - answer✔Visual assessment
Chest x-ray

Pulmonary Contusion Treatment - answer✔Focused on maintaining ventilation and
oxygenation
Nursing Interventions: IV fluids, High fowler's or good lung down, frequent respiratory
assessment, prevent ARDS

Rib Fracture Signs & Symptoms - answer✔Pain with movement
Splints chest defensively
Shallow breathing



2|Page

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