NR341 COMPLEX ADULT HEALTH EXAM III WITH 130 QUESTIONS AND CORRECT
VERIFIED ANSWERS |A+ GRADE
Expectant - ( ANSWER)A patient in triage who is expected to die.
-You only provide comfort care
-For example, fixed and dilated pupils (brain dead)
Non-urgent - ( ANSWER)A patient in triage who has minor scrapes and cuts that can be self
treated
!@#$%^&*()_
Urgent - ( ANSWER)A patient in triage who has a broken pelvis but the patient can wait an
hour in order to receive treatment
-ABC's are still intact
-Vital signs are stable
Emergent - ( ANSWER)A patient in triage that needs immediate care due to a life
threatening injury but they cans till survive
Example: pneumothorax
Blunt - ( ANSWER)A type of trauma that is the most common mechanism of injury
-require expert clinical judgement to diagnose as injuries many not be easily noted
-Skin is still intact but the injury is underneath
Penetrating - ( ANSWER)A type of trauma where a foreign object impales the body
-Complication include organ damage, hemorrhage and infection
Blast - ( ANSWER)A type of injury that occurs from explosions
-Combines elements of blunt and penetrating trauma
Primary survey - ( ANSWER)Rapid assessment of injuries
Follows ABCDE principle
Airway, breathing, circulation, disability, exposure - ( ANSWER)What does ABCDE stand for
Stridor
Inability to speak or swallow
Drooling
Decreaed LOC
Facial or head trauma - ( ANSWER)Assessment findings for compromised airway
Open airway
, NR341 COMPLEX ADULT HEALTH EXAM III WITH 130 QUESTIONS AND CORRECT
VERIFIED ANSWERS |A+ GRADE
(If there is a suspected neck injury do not tilt head)
Suction
Airway insertion - ( ANSWER)interventions for a compromised airway
Chest/thoracic injury
Pneumothorax
Rib fracture !@#$%^&*()_
Altered mental status - ( ANSWER)What things can compromise breathing effectiveness?
Absent or unequal breath sounds
Asymmetrical chest expansion
Tracheal shift
Accessory muscle use - ( ANSWER)assessment findings for compromised breathing
Needle decompression
Chest tube insertion
Intubation
Possible c spine stabilization - ( ANSWER)Intervention for compromised breathing
Weak thready pulse
Pallor
Decreased LOC
HR over 120
BP less than 90
MAP less than 70
(S/S of hypovolemic shock - ( ANSWER)Assessment findings for compromised circulation
2 large bore IVS
Transfuse blood if necessary
NS or LR is given - ( ANSWER)Interventions for poor circulation
Disability (drugs and alcohol can cause misleading findings) - ( ANSWER)A part of the
primary survey where you do a quick assessment of the patient neurological status
Assess LOC
Pupil response
Spontaneous movements - ( ANSWER)Assessment for disability
VERIFIED ANSWERS |A+ GRADE
Expectant - ( ANSWER)A patient in triage who is expected to die.
-You only provide comfort care
-For example, fixed and dilated pupils (brain dead)
Non-urgent - ( ANSWER)A patient in triage who has minor scrapes and cuts that can be self
treated
!@#$%^&*()_
Urgent - ( ANSWER)A patient in triage who has a broken pelvis but the patient can wait an
hour in order to receive treatment
-ABC's are still intact
-Vital signs are stable
Emergent - ( ANSWER)A patient in triage that needs immediate care due to a life
threatening injury but they cans till survive
Example: pneumothorax
Blunt - ( ANSWER)A type of trauma that is the most common mechanism of injury
-require expert clinical judgement to diagnose as injuries many not be easily noted
-Skin is still intact but the injury is underneath
Penetrating - ( ANSWER)A type of trauma where a foreign object impales the body
-Complication include organ damage, hemorrhage and infection
Blast - ( ANSWER)A type of injury that occurs from explosions
-Combines elements of blunt and penetrating trauma
Primary survey - ( ANSWER)Rapid assessment of injuries
Follows ABCDE principle
Airway, breathing, circulation, disability, exposure - ( ANSWER)What does ABCDE stand for
Stridor
Inability to speak or swallow
Drooling
Decreaed LOC
Facial or head trauma - ( ANSWER)Assessment findings for compromised airway
Open airway
, NR341 COMPLEX ADULT HEALTH EXAM III WITH 130 QUESTIONS AND CORRECT
VERIFIED ANSWERS |A+ GRADE
(If there is a suspected neck injury do not tilt head)
Suction
Airway insertion - ( ANSWER)interventions for a compromised airway
Chest/thoracic injury
Pneumothorax
Rib fracture !@#$%^&*()_
Altered mental status - ( ANSWER)What things can compromise breathing effectiveness?
Absent or unequal breath sounds
Asymmetrical chest expansion
Tracheal shift
Accessory muscle use - ( ANSWER)assessment findings for compromised breathing
Needle decompression
Chest tube insertion
Intubation
Possible c spine stabilization - ( ANSWER)Intervention for compromised breathing
Weak thready pulse
Pallor
Decreased LOC
HR over 120
BP less than 90
MAP less than 70
(S/S of hypovolemic shock - ( ANSWER)Assessment findings for compromised circulation
2 large bore IVS
Transfuse blood if necessary
NS or LR is given - ( ANSWER)Interventions for poor circulation
Disability (drugs and alcohol can cause misleading findings) - ( ANSWER)A part of the
primary survey where you do a quick assessment of the patient neurological status
Assess LOC
Pupil response
Spontaneous movements - ( ANSWER)Assessment for disability
