Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters
Give this one a try later!
, C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen
activator, a thrombolytic medication, has been effective in maintaining
perfusion and decreasing the need for amputation when administered
within 24 hours of rewarming.
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patient?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature
Give this one a try later!
A. Maintain adequate respiratory status
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe.
Maintenance of respiratory function is the highest priority.
An adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In the
primary survey, further assessment is indicated next for which of the following
conditions?
A. Damage to the cervical spine
B. An expanding pneumothorax
C. Laceration of the carotid artery
D. Injury of the thyroid gland
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters
Give this one a try later!
, C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen
activator, a thrombolytic medication, has been effective in maintaining
perfusion and decreasing the need for amputation when administered
within 24 hours of rewarming.
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patient?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature
Give this one a try later!
A. Maintain adequate respiratory status
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe.
Maintenance of respiratory function is the highest priority.
An adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In the
primary survey, further assessment is indicated next for which of the following
conditions?
A. Damage to the cervical spine
B. An expanding pneumothorax
C. Laceration of the carotid artery
D. Injury of the thyroid gland
