NR574 FINAL EXAM Week 7: Traumatic Chest & Abdominal Injuries
UPDATED ACTUAL Questions and CORRECT Answers
1. cardiac tamponade acute compression of the heart
caused by fluid accumulation in
the pericardial cavity
-Blood spills into the pericardial
sac and restricts cardiac filling
2. clinical presentation of cardiac tamponade Beck's triad
-jugular venous distention (JVD)
-hypotension with narrow pulse
pressure
-muffled heart tones
distended neck veins may occur
with active hemorrhage
elevated CVP (central venous
pressure)
pulseless electrical activity (PEA)
arrest (not specific)
3. Beck's triad -jugular venous distention (JVD)
-hypotension with narrow pulse
pressure
-muffled heart tones
4. flail chest fracture of two or more adjacent
ribs in two or more places that
allows for free movement of the
fractured segment
, -allow the rib cage to move para-
doxically.
5. clinical presentation of flail chest paradoxical chest movement
pain
hypoxia
crepitus on palpation of ribcage
6. flail chest treatment humidified oxygen
ventilation management
pain management
-intercostal nerve block
-prevention of respiratory failure
-splinting of the chest wall with
pillow with movement or cough-
ing
pulmonary hygiene
-deep breathing and coughing
-incentive spirometry
7. "sucking chest wound" is what? open pneumothorax
-is caused by a defect to the chest
that is deep enough to open a
passage from the chest wall to
the chest cavity.
8. clinical presentation of an open pneumo open chest wound
shortness of breath
decreased or absent breath
sounds on the attected side
UPDATED ACTUAL Questions and CORRECT Answers
1. cardiac tamponade acute compression of the heart
caused by fluid accumulation in
the pericardial cavity
-Blood spills into the pericardial
sac and restricts cardiac filling
2. clinical presentation of cardiac tamponade Beck's triad
-jugular venous distention (JVD)
-hypotension with narrow pulse
pressure
-muffled heart tones
distended neck veins may occur
with active hemorrhage
elevated CVP (central venous
pressure)
pulseless electrical activity (PEA)
arrest (not specific)
3. Beck's triad -jugular venous distention (JVD)
-hypotension with narrow pulse
pressure
-muffled heart tones
4. flail chest fracture of two or more adjacent
ribs in two or more places that
allows for free movement of the
fractured segment
, -allow the rib cage to move para-
doxically.
5. clinical presentation of flail chest paradoxical chest movement
pain
hypoxia
crepitus on palpation of ribcage
6. flail chest treatment humidified oxygen
ventilation management
pain management
-intercostal nerve block
-prevention of respiratory failure
-splinting of the chest wall with
pillow with movement or cough-
ing
pulmonary hygiene
-deep breathing and coughing
-incentive spirometry
7. "sucking chest wound" is what? open pneumothorax
-is caused by a defect to the chest
that is deep enough to open a
passage from the chest wall to
the chest cavity.
8. clinical presentation of an open pneumo open chest wound
shortness of breath
decreased or absent breath
sounds on the attected side
