NUR 401 CRITICAL CARE FINAL-Questions &
ANSWERS 100% RATED CORRECT- SURE PASS!! |
Newest 2025
This is the leading cause of death in all ages less than 44 years of age - ✔✔Trauma
What are 2 kinds of trauma? - ✔✔blunt and penetrating
What are examples of blunt trauma? - ✔✔MVC, contact sports, blunt force injuries,
falls
What do you need to know about MVC to determine how severe patient's injuries might
be? - ✔✔pt weight x MPH = pounds per pressure on tissues and organs that continue
to move forward after deceleration
What are examples of penetrating trauma? - ✔✔stabbings, firearms, impalements.
The condition of the outer wound does not determine extent of internal injury.
What is the Golden Hour for trauma patients and what is our goal during this period? -
✔✔it is the first 60 minutes and our goals is to stabilize and transport
What does the primary survey include? - ✔✔ABCDE
-airway, alertness, cervical spine protection, hemorrhage control
- breathing and ventilation
- circulation and control any bleeding
-disability: neuro status--> GCS
,- exposure and environmental control
What does the secondary survey include? - ✔✔- full set of vitals, family
-get resuscitation adjuncts: labs, monitor, naso/oro-gastric tube, oxygenation and
ventilation assessment, pain
-history "Ample"
What does "ample" stand for? - ✔✔- allergies
- medications currently used
- past medical illness/pregnancies
- last meal
- events, environment leading up to injury
What are possible mechanisms of injury for penetrating trauma? - ✔✔- weapon
- caliber of weapon
- number of shots fired
- gender of assailant
- position of victim and assailant on injury
What are possible mechanisms of injury for blunt trauma? - ✔✔- height of fall
- MVC extrication time
- Ejection
- Steering wheel deformation
- location in automobile
- restraint status
- speed of automobiles, direct of impact
,- occupants
When do people get a trauma level assigned to them? - ✔✔when a trauma alert has
been issued
What equipment do you need for adequate hemodynamic monitoring? - ✔✔-
invasive catheter kit
- transducer and pressurized (non-compressible) tubing
- flush system (normal saline and pressure bag)
- bedside monitor
What are the different kinds of invasive catheter kits? - ✔✔-arterial line
- central venous line
- pulmonary artery catheter
What does a transducer and pressurized (non-compressible) tubing do? - ✔✔it
receives physiologic signal from catheter/tubing and converts to electrical energy
What does a flush system do? - ✔✔-maintains patency of tubing and catheter
- delivers 3 mL of fluid per hour through pressurized tubing
What does the bedside monitor do? - ✔✔it displays the electrical energy as a
waveform via a pressure cable connector
Why is it important to calibrate your hemodynamic monitors? - ✔✔to ensure
accuracy of readings
, How do you "zero" a hemodynamic monitor? - ✔✔remove cap, turn 3-way stopcock
lever up, flush, press zero on monitor, replace cap, turn lever off to port
How often should you level and zero your transducer for your hemodynamic monitors? -
✔✔at least once per shift
This is a catheter normally inserted into radial artery with the exceptional of femoral
and dorsalis pedis; designed for continuous assessment of arterial perfusion to major
organ systems - ✔✔Arterial Line
What are indications for Arterial Line? - ✔✔major medical/surgical condition
compromising CO, tissue perfusion, or fluid status
- shock
-hypertensive crisis
- vasoactive drugs
- frequent blood draws (ABGs)
What are contraindications for an arterial line? - ✔✔-Peripheral Vascular Disease
(PVD)
- hemorrhagic disorders
- use of anticoagulants
- use of thrombolytics
- compromised insertion site
What are potential complications with using arterial lines? - ✔✔- hemorrhage if
disconnected
- thrombosis
ANSWERS 100% RATED CORRECT- SURE PASS!! |
Newest 2025
This is the leading cause of death in all ages less than 44 years of age - ✔✔Trauma
What are 2 kinds of trauma? - ✔✔blunt and penetrating
What are examples of blunt trauma? - ✔✔MVC, contact sports, blunt force injuries,
falls
What do you need to know about MVC to determine how severe patient's injuries might
be? - ✔✔pt weight x MPH = pounds per pressure on tissues and organs that continue
to move forward after deceleration
What are examples of penetrating trauma? - ✔✔stabbings, firearms, impalements.
The condition of the outer wound does not determine extent of internal injury.
What is the Golden Hour for trauma patients and what is our goal during this period? -
✔✔it is the first 60 minutes and our goals is to stabilize and transport
What does the primary survey include? - ✔✔ABCDE
-airway, alertness, cervical spine protection, hemorrhage control
- breathing and ventilation
- circulation and control any bleeding
-disability: neuro status--> GCS
,- exposure and environmental control
What does the secondary survey include? - ✔✔- full set of vitals, family
-get resuscitation adjuncts: labs, monitor, naso/oro-gastric tube, oxygenation and
ventilation assessment, pain
-history "Ample"
What does "ample" stand for? - ✔✔- allergies
- medications currently used
- past medical illness/pregnancies
- last meal
- events, environment leading up to injury
What are possible mechanisms of injury for penetrating trauma? - ✔✔- weapon
- caliber of weapon
- number of shots fired
- gender of assailant
- position of victim and assailant on injury
What are possible mechanisms of injury for blunt trauma? - ✔✔- height of fall
- MVC extrication time
- Ejection
- Steering wheel deformation
- location in automobile
- restraint status
- speed of automobiles, direct of impact
,- occupants
When do people get a trauma level assigned to them? - ✔✔when a trauma alert has
been issued
What equipment do you need for adequate hemodynamic monitoring? - ✔✔-
invasive catheter kit
- transducer and pressurized (non-compressible) tubing
- flush system (normal saline and pressure bag)
- bedside monitor
What are the different kinds of invasive catheter kits? - ✔✔-arterial line
- central venous line
- pulmonary artery catheter
What does a transducer and pressurized (non-compressible) tubing do? - ✔✔it
receives physiologic signal from catheter/tubing and converts to electrical energy
What does a flush system do? - ✔✔-maintains patency of tubing and catheter
- delivers 3 mL of fluid per hour through pressurized tubing
What does the bedside monitor do? - ✔✔it displays the electrical energy as a
waveform via a pressure cable connector
Why is it important to calibrate your hemodynamic monitors? - ✔✔to ensure
accuracy of readings
, How do you "zero" a hemodynamic monitor? - ✔✔remove cap, turn 3-way stopcock
lever up, flush, press zero on monitor, replace cap, turn lever off to port
How often should you level and zero your transducer for your hemodynamic monitors? -
✔✔at least once per shift
This is a catheter normally inserted into radial artery with the exceptional of femoral
and dorsalis pedis; designed for continuous assessment of arterial perfusion to major
organ systems - ✔✔Arterial Line
What are indications for Arterial Line? - ✔✔major medical/surgical condition
compromising CO, tissue perfusion, or fluid status
- shock
-hypertensive crisis
- vasoactive drugs
- frequent blood draws (ABGs)
What are contraindications for an arterial line? - ✔✔-Peripheral Vascular Disease
(PVD)
- hemorrhagic disorders
- use of anticoagulants
- use of thrombolytics
- compromised insertion site
What are potential complications with using arterial lines? - ✔✔- hemorrhage if
disconnected
- thrombosis