trauma can result from - Answers blunt force or penetrating injuries
triage is a process of - Answers rapidly determining client acuity
assign the client to the correct category:
- client with nail stuck in the hand
- client with acute substernal chest pain
- client with abdominal pain 7/10
- trauma client in respiratory arrest - Answers - category 1: trauma client in respiratory arrest
- category 2: client with acute substernal chest pain
- category 3: client with abdominal pain 7/10
- category 4: client with nail stuck in the hand
primary assessment focuses on the life threatening injuries: - Answers airway, breathing,
circulation, disability, and exposure
what are the steps of the primary assessent? - Answers - control bleeding, IV fluids
- intubation, chest tube insertion
which are the endpoints of resuscitation? - Answers - UO 1mL/kg/hr
- increased LOC
- normalizing ABG results
secondary assessment (F, G, H, I) is a - Answers brief, systematic process that is aimed at
identifying all injuries
what are the steps in the secondary assessment? - Answers chest x-ray, NG tube, and pain
medications
which are possible complications of chest trauma? - Answers - pneumothorax
- blunt cardiac injury
- diaphragmatic rupture
- flailed chest
what other organs can be injured in traumas? - Answers - liver
, - spleen
- abdomen
- kidneys
which of the following are possible complications of facial trauma? - Answers - spinal cord
injury
- loss of airway
- basilar skull fracture
what are some other complications a trauma client experience? - Answers - hypermetabolism
- fat embolism
- AKI
- compartment syndrome
which of the following are special considerations for trauma clients? - Answers - elderly patients
- organ donor
- legal issues
primary brain injury is a - Answers consequence of direct contact to head/brain during the
instant of initial injury
secondary injury - Answers damage that evolves after the initial injury caused by cerebral edema,
ischemia, or chemical changes associated with the trauma
a skull fracture is a - Answers break in the continuity of the skull caused by forceful trauma
how can a nurse determine if the drainage from the nose is CSF? - Answers - testing clear
drainage for glucose
- perform the halo test on bloody drainage
brain injuries are classified as: - Answers - concussions
- contusions
- diffuse axonal injury
concussion is a - Answers temporary loss of neurologic function with no apparent structural
damage to the brain