Pulmonary contusion Study guides, Class notes & Summaries

Which of the following parameters may be a late sign of cardiovascular disturbance signaling failure of the compensatory mechanisms? A. Tachycardia B. Bradycardia C. Hypotension D. Hypertension - ANSWER-C Investigative tests should be based on the patient's history and physical examination as well as on previous tests. Which of the following is one of the most important indicators of critical illness? A. Respiratory acidosis B. Metabolic acidosis C. Elevated creatinine D. Hyponatremi...

CCRN Pediatric Practice Exam Questions from AACNTo promote effective grieving in a 6-year-old sibling following the death of an infant, the nurse should: A) Recommend that the sibling not attend the infant's memorial service B) Encourage the parents to minimize their expression of grief with the sibling C) Explain to the sibling that the infant went to heaven D) Explain to the sibling that thoughts and wishes did not cause the infant's deathA 5-year-old with a history of congenital hydroce...

AHN 447 Exam 3 Questions And Answers 2023/2024 A+ What are the clinical manifestations of a pulmonary contusion? - ANSWER-MAY BE ASYMPTOMATIC AT FIRST decreased breath sounds or crackles and wheezes over the affected area bruising over the injury dry cough tachycardia tachypnea dullness to percussion bloody sputum initial CXR normal--CXR with opacities after several days *can lead to respiratory failure What is the pathophysiology of a pulmonary contusion? - ANSWER-occurs mos...

Ventilation - ANSWER-Inspiration of oxygen Expiration of carbon dioxide from the blood Ventilation requires which muscles - ANSWER-Intercostal muscles diaphragm muscles Sternocleidomastoid muscles Factors effecting ventilation - ANSWER-*Compliance-muscles ability for lungs to expand (rib expansion) *Elasticity-ability for lungs to return to relaxed shape *Resistance-airway resistance(mucus, aspiration, bronchospasm) *Work of breathing-how difficult it is to breath(obesity, prego) ...

How is an ET tube placement confirmed? Correct Answer: From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. Correct Answer: The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode. Correct Answer: The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? Correct Answer: Mode FiO2 Rate Tidal Volume (Vt...

PHTLS Pre & Post Test (Latest 2023/ 2024) Questions and Verified Answers| 100% Correct Q: Which of the following is the preferred site for needle decompression of a tension pneumothorax? A. 4th intercostal space, midclavicular line, just over the top of the 5th rib B. 4th intercostal space, midclavicular line, just below the 4th rib C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib D. 2nd intercostal space, midclavicular line, just below the 2nd rib Ans...

What is the most important sign in a critically ill pt? Why? - Correct answer-Tachypnea Indicates metabolic acidosis (often w/ respiratory alkalosis compensation) A pt misses dialysis for a few days and comes in with fluid overload. He's tachycardic and tachypneic. On physical exam, you find JVD, pulsus paradoxus (20 mmHg drop during inspiration), and HoTN (80/40) with distant, muffled heart sounds. Lungs are clear to auscultation. What is the dx? - Correct answer-Cardiac tamponade; obstru...

ATLS EXAM 2023/2024 Patients with a GSC of less than ___ usually require intubation. - ANSWER 8 The "A" in ABCD stands for _______. - ANSWER Airway maintenance with CERVICAL SPINE PROTECTION You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - ANSWER Ce...

PHTLS Post Test 9th Edition (Latest 2023/ 2024) Questions and Verified Answers| Grade A Q: Which of the following represents adequate spontaneous ventilation in an adult? A. Tidal volume 100 mL, ventilatory rate 40/minute B. Tidal volume 500 mL, ventilatory rate 8/minute C. Tidal volume 300 mL, ventilatory rate 16/minute D. Tidal volume 600 mL, ventilatory rate 12/minute Answer: D. Tidal volume 600 mL, ventilatory rate 12/minute Q: Which of the following is 100% accurat...

You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? A) 1000 mL/hr B) 500 mL/hr C) 250 mL/hr D) 125 mL/hr - correct answer B) 500 mL/hr A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. Hi...