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A trauma patient is en route to a rural ED. Radiology notifies the
charge nurse that the CT scanner will be out of service for
several of hours. The team gathers to plan accordingly. Which
of the following terms best describes this trauma teams
communication?
Answer: D -A) Brief
B)
loop
C)
debrief
D) huddle
***
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the entire
surface of both upper extremities and superficial burns to the
anterior chest. Using the modified Lund and Browder chart to
,calculate the total BSA burned, how much IV fluids would be
administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Answer: A - ANSWER-A) 2280
mL ***
B) 3840
mL
C) 4560
mL
D) 7680
mL
Which of the following assessment findings differentiates a
tension PTX from a
simple
PTX?
answer: D
, Assessment findings associated with tension pneumothorax
include anxiety, severe restlessness, severe respiratory
distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels
is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs
include distended neck veins, tracheal deviation, and cyanosis.
- ANSWER-A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration ***
Why is a measure of serum lactate obtained in the initial
assessment of the
trauma
patient?
Answer: c -a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock