Bretmax

a nurse is assessing a pt with selecting food choice on a menu. which of the following actions by the nurse demonstrates ethnocentrism? a. asking the pt. about some favorite food choices b. notifying the dietician to complete the menu c. recommending one's own favorite foods d. asking the pts. family to fill out the menu - ANSWER - c. recommending

Most common cause of shock in a trauma patient - ANSWER - Hemorrhage Earliest measurable circulatory sign of shock (in most cases) - ANSWER - Tachycardia, cutaneous vasoconstriction (cool to touch) Contraindicated in management of hemorrhagic shock - ANSWER - Vasopressors (worsen tissue perfusion) Compensatory mechanisms can prevent a measurable

What are more common brain injury: epidural or subdural? - ANSWER - subdural 30% epidural 0.5% Subdural hematoma occur from tear of _________. - ANSWER - bridging vessels of the cerebral cortex Contusion occur in ___% of TBI. They often occur in _____ or ______ lobes of brain. They may coalesce to form ______ in as many as 20$%. - ANSWER - 20-30% frontal or temporal intracerebral hematoma. What is the imaging protocol for a patient with cerebral contusion? - ANSWER - get CT at presen...

A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound should consist of: Select one: a. application of a tourniquet b. direct pressure on the wound c. packing the wound with gauze d. direct pressure on the femoral artery at the groin e. debridement of devitalized tissue - ANSWER - b. direct pressure on the wound Fo...

Why does shock actually reduce the total volume of circulating blood? - ANSWER - Anaerobic metabolism --> can't make more ATP --> Endoplasmic then mitochondrial damage --> lysosomes rupture --> sodium and WATER enter the cell, which SWELLS and dies. Which vasopressors should you use to treat hemorrhagic shock? What are the drug doses? - ANSWER - NEVER use pressors for hypovolemic shock - use VOLUME replacement. Pressors will worsen tissue perfusion in hemorrhagic shock. Comp...

What site is the first choice for intraosseous infusion? A. Proximal tibia B. Distal humerus C. Proximal femur D. Distal fibula - ANSWER - A. Proximal tibia A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be controlled with direct pressure, is coming from the wound. The patient appears confused, diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation for this patient? A. Intravenous fluid at a "keep open...

Bowel sounds on chest auscultation are reflective of - ANSWER - Diaphragm injury Apical capping and widened mediastinum are reflective of what? - ANSWER - Aortic trauma Circumferential burn? - ANSWER - Escharotomy What is main goal of priamry brain injury? - ANSWER - Preventing secondary brain injury 2 big causes of secondary brain injury? - ANSWER - HYPOVOLEMIA and HYPOXEMIA Girl falls on her head, loses consciousness, and is now unstable. What kind of hematoma is this? - ANSWER ...

A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an intersection. He is unconscious at the scene with a blood pressure of 140/90 mmHg, heart rate of 90 beats per minute, and respiratory rate of 22 breaths per minute. His respirations are sonorous and deep. His GCS score is 6. Immobilization of the entire family may include the use of all the following EXCEPT: A. Air splints B. Bolstering devices C. A long spine board D. A scoop style stretcher E. A semirigid cervi...

A 22 year old male sustains a shotgun wound to the left shoulder and chest at close range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is initiated, his BP increases to 122/84, and HR decreases to 100bpm. He is tachypneic with RR of 28. On physical examination, his breath sounds are decreased at the left upper chest with dullness on percussion. A tube thoracostomy is inserted in the fifth intercostal space with the return of 200ml of blood and no air leak. The most appropriate n...

Most common cause of shock in a trauma patient - ANSWER - Hemorrhage Earliest measurable circulatory sign of shock (in most cases) - ANSWER - Tachycardia, cutaneous vasoconstriction (cool to touch) Contraindicated in management of hemorrhagic shock - ANSWER - Vasopressors (worsen tissue perfusion) Compensatory mechanisms can prevent a measurable fall in systolic pressure until up to ______ of a patient's blood volume is lost. - ANSWER - 30% Diagnosis of tachycardia by age - ANSWER...