Emergency Nursing 458 Exam Graded A+
B blood can receive - ANSWER-B or O
basilar skull fractures - ANSWER-do not insert NG tube!!
can be tear in dura
- clear fluid drain from their nose = CS fluid
- test level of glucose in fluid
battle signs (break in temporal bone, bruising below ear): ICU
raccoon eyes (break in temporal bone): ICU
before they are infused fluids are - ANSWER-warmed
blood type that can receive all types of blood - ANSWER-AB
bruising across lower abdomen is characteristic of a - ANSWER-seat belt injury
visible signs may not reflect severity of underlying injury
complications of NP airway adjuncts - ANSWER-epistaxsis
deterioration requiring intubation (semiconscious patient)
complications of OP airway adjuncts - ANSWER-vomiting in patients with an intact gag
reflex
airway obstruction if the tongue is pushed against the posterior pharyngeal wall during
insertion
cryo - ANSWER-cryo precipitates
**given as coagulation products, preventing coagulopathy
CTs are only done if patient is - ANSWER-stable
describe blunt abdominal trauma - ANSWER-compressive or shearing forces may
deform and rupture abdominal organs
visible signs may not reflect severity of underlying injury
describe blunt trauma: compression vs shearing - ANSWER-compression: from crush
between solid objects such as steering wheels, seat belts, and the vertebrae
, shearing: causing a tear or rupture from stretching at points of attachment (Ex. happens
in blood vessels like the aorta)
describe penetrating trauma - ANSWER-stab wounds: DO NOT remove object ... that is
done in the ER
gunshot wounds
blast
impalement - missiles
different levels of ED - ANSWER-1, 2, 3, 4
lower levels will stabilize and transport pt to higher level of care via ground or air
do not use a NP airway adjunct for patients suffering from - ANSWER-significant facial
and basilar skill fractures
during the secondary survey a pt becomes hemodynamically unstable, what should the
nurse do - ANSWER-stop the secondary survey and reinstitute the primary survey
ED outcomes - ANSWER-discharge
transfer
admission
death
ED trauma 101: MOI (mechanism of injury) - ANSWER-blunt vs penetrating
blunt chest, abdomen, or pelvis trauma
penetrating generally depends on MOI
- GSW (gun shot wound)
- SW (stab wound)
ED triage 101: acuity levels 1-5 - ANSWER-1) life threatening, full arrest, trauma
activation (Ex. MI, med overdose THEN stroke pt to CT)
2) airway patent, but potential intubation needed (Ex. stroke)
- high risk situation or confused/lethargic/disorientated or severe pain/distress?
- how many different resources are needed?
- danger zone vitals?
B blood can receive - ANSWER-B or O
basilar skull fractures - ANSWER-do not insert NG tube!!
can be tear in dura
- clear fluid drain from their nose = CS fluid
- test level of glucose in fluid
battle signs (break in temporal bone, bruising below ear): ICU
raccoon eyes (break in temporal bone): ICU
before they are infused fluids are - ANSWER-warmed
blood type that can receive all types of blood - ANSWER-AB
bruising across lower abdomen is characteristic of a - ANSWER-seat belt injury
visible signs may not reflect severity of underlying injury
complications of NP airway adjuncts - ANSWER-epistaxsis
deterioration requiring intubation (semiconscious patient)
complications of OP airway adjuncts - ANSWER-vomiting in patients with an intact gag
reflex
airway obstruction if the tongue is pushed against the posterior pharyngeal wall during
insertion
cryo - ANSWER-cryo precipitates
**given as coagulation products, preventing coagulopathy
CTs are only done if patient is - ANSWER-stable
describe blunt abdominal trauma - ANSWER-compressive or shearing forces may
deform and rupture abdominal organs
visible signs may not reflect severity of underlying injury
describe blunt trauma: compression vs shearing - ANSWER-compression: from crush
between solid objects such as steering wheels, seat belts, and the vertebrae
, shearing: causing a tear or rupture from stretching at points of attachment (Ex. happens
in blood vessels like the aorta)
describe penetrating trauma - ANSWER-stab wounds: DO NOT remove object ... that is
done in the ER
gunshot wounds
blast
impalement - missiles
different levels of ED - ANSWER-1, 2, 3, 4
lower levels will stabilize and transport pt to higher level of care via ground or air
do not use a NP airway adjunct for patients suffering from - ANSWER-significant facial
and basilar skill fractures
during the secondary survey a pt becomes hemodynamically unstable, what should the
nurse do - ANSWER-stop the secondary survey and reinstitute the primary survey
ED outcomes - ANSWER-discharge
transfer
admission
death
ED trauma 101: MOI (mechanism of injury) - ANSWER-blunt vs penetrating
blunt chest, abdomen, or pelvis trauma
penetrating generally depends on MOI
- GSW (gun shot wound)
- SW (stab wound)
ED triage 101: acuity levels 1-5 - ANSWER-1) life threatening, full arrest, trauma
activation (Ex. MI, med overdose THEN stroke pt to CT)
2) airway patent, but potential intubation needed (Ex. stroke)
- high risk situation or confused/lethargic/disorientated or severe pain/distress?
- how many different resources are needed?
- danger zone vitals?
