Trauma Care Exam questions with correct
answers
Primary |Survey |- |VERIFIED |ANSWER✔✔--designed |for |use |in |the |rapid |assessment |and |intervention |of
|the |multiple |trauma |patient
-patient |is |assessed |for |life |threatining |injuries
-as |problems |are |identified, |interventions |should |be |initiated
-Five |steps |in |primary |survey |include |ABCs |plus |D |& |E
-Disability |(Mini |neurologic |exam)
-Exposure |(Undress |with |temperature |control)
-Cervical |spine |must |be |immobilized |in |all |trauma |patients |until |C-spine |injury |is |ruled |out
-If |airway |is |obstructed, |foreign |bodies |are |removed
-Airway |may |be |secured |through |intubation |or |cricothyrotomy
-Cardiac |monitoring |is |initiated |to |assess |for |rhythm |disturbances
-Life |threatining |dysrhythmias |are |treated |according |to |ACLS |protocol.
-External |exsanguination |is |identified |& |controlled
-A |rapid |assessment |of |circulatory |status |includes |assessment |of |LOC, |color, |and |pulse.
Resuscitation |Phase |- |VERIFIED |ANSWER✔✔--Hypovolemic |shock |is |the |most |common |type |of |shock |
that |occurs |in |trauma |patients
-Hemorrhage |must |be |identified |and |treated |rapidly
-2 |large-bore |IV |(14-16 |gauage) |or |a |central |venous |catheter |are |inserted
-blood |samples |are |drawn
-Crystalloids |(LR), |colloid |(plasma |or |albumin), |and/or |blood |to |replace |volume.
-Fluid |warmers |may |be |used |to |deliver |warmed |IV |solutions |at |rates |greater |than |1000 |mL/min.
-TYpe |specific |blood |or |O |negative |blood |may |be |administered |if |the |patient |is |unresponsive |ot |bolus |
IV |therapy.
-Gastric |& |urinary |catheters |are |placed, |unless |contraindicated
-ADequate |resuscitation |is |assessed |by |monitoring |for |improvement |in |VS, |ABGs |& |U/O
, Trauma-Mechanisms |of |Injury |- |VERIFIED |ANSWER✔✔-Blunt |trauma
-Motor |vehicle |crashes |(MVC)
-contact |sports
-crush |injuries
-falls
Penetrating |trauma
-stabbings
-firearms
-impalesment |on |foreign |objects
Prehospital |Resuscitation |- |VERIFIED |ANSWER✔✔--goal |is |immediates |stabilization |& |transportation
-Stablilization |is |accomplished |through |assessments |& |interventions |related |to |ABCs
-ONce |stablized |at |the |scene, |the |patient |is |transported |to |an |appropriate |medical |facility |by |ground |
or |air |transport
Secondary |Survey |- |VERIFIED |ANSWER✔✔--begins |when |the |primary |survey |is |completed, |
resuscitation |initated |& |the |patient's |ABCs |are |reassessed
-Goal |is |to |to |identify |all |injuries
-Each |body |region |is |thoroughly |examined
-The |history |is |one |of |the |most |important |aspects |of |the |secondary |survey
-THe |nurse |ensures |completeion |of |special |procedures |such |asw |an |ECG, |radiographic |studies |(chest, |
cervical, |thoraxs |& |pelvis).
-VS |and |response |to |hterapy |is |continously |monitored
-Emotional |support |to |the |patient |and |family |is |imperative
-COver |all |open |wounds
-Remember |tetanus |prophylaxis
-Obtain |appropriate |consults
-Prepare |the |patient |for |possible |surgery
answers
Primary |Survey |- |VERIFIED |ANSWER✔✔--designed |for |use |in |the |rapid |assessment |and |intervention |of
|the |multiple |trauma |patient
-patient |is |assessed |for |life |threatining |injuries
-as |problems |are |identified, |interventions |should |be |initiated
-Five |steps |in |primary |survey |include |ABCs |plus |D |& |E
-Disability |(Mini |neurologic |exam)
-Exposure |(Undress |with |temperature |control)
-Cervical |spine |must |be |immobilized |in |all |trauma |patients |until |C-spine |injury |is |ruled |out
-If |airway |is |obstructed, |foreign |bodies |are |removed
-Airway |may |be |secured |through |intubation |or |cricothyrotomy
-Cardiac |monitoring |is |initiated |to |assess |for |rhythm |disturbances
-Life |threatining |dysrhythmias |are |treated |according |to |ACLS |protocol.
-External |exsanguination |is |identified |& |controlled
-A |rapid |assessment |of |circulatory |status |includes |assessment |of |LOC, |color, |and |pulse.
Resuscitation |Phase |- |VERIFIED |ANSWER✔✔--Hypovolemic |shock |is |the |most |common |type |of |shock |
that |occurs |in |trauma |patients
-Hemorrhage |must |be |identified |and |treated |rapidly
-2 |large-bore |IV |(14-16 |gauage) |or |a |central |venous |catheter |are |inserted
-blood |samples |are |drawn
-Crystalloids |(LR), |colloid |(plasma |or |albumin), |and/or |blood |to |replace |volume.
-Fluid |warmers |may |be |used |to |deliver |warmed |IV |solutions |at |rates |greater |than |1000 |mL/min.
-TYpe |specific |blood |or |O |negative |blood |may |be |administered |if |the |patient |is |unresponsive |ot |bolus |
IV |therapy.
-Gastric |& |urinary |catheters |are |placed, |unless |contraindicated
-ADequate |resuscitation |is |assessed |by |monitoring |for |improvement |in |VS, |ABGs |& |U/O
, Trauma-Mechanisms |of |Injury |- |VERIFIED |ANSWER✔✔-Blunt |trauma
-Motor |vehicle |crashes |(MVC)
-contact |sports
-crush |injuries
-falls
Penetrating |trauma
-stabbings
-firearms
-impalesment |on |foreign |objects
Prehospital |Resuscitation |- |VERIFIED |ANSWER✔✔--goal |is |immediates |stabilization |& |transportation
-Stablilization |is |accomplished |through |assessments |& |interventions |related |to |ABCs
-ONce |stablized |at |the |scene, |the |patient |is |transported |to |an |appropriate |medical |facility |by |ground |
or |air |transport
Secondary |Survey |- |VERIFIED |ANSWER✔✔--begins |when |the |primary |survey |is |completed, |
resuscitation |initated |& |the |patient's |ABCs |are |reassessed
-Goal |is |to |to |identify |all |injuries
-Each |body |region |is |thoroughly |examined
-The |history |is |one |of |the |most |important |aspects |of |the |secondary |survey
-THe |nurse |ensures |completeion |of |special |procedures |such |asw |an |ECG, |radiographic |studies |(chest, |
cervical, |thoraxs |& |pelvis).
-VS |and |response |to |hterapy |is |continously |monitored
-Emotional |support |to |the |patient |and |family |is |imperative
-COver |all |open |wounds
-Remember |tetanus |prophylaxis
-Obtain |appropriate |consults
-Prepare |the |patient |for |possible |surgery
