The nurse is caring for a patient who has fractured the femur. Which is the approximate amount of blood loss that can be expected?
1,500 mL
A patient experiencing homelessness presents to the emergency room after spending the night outside in below freezing temperatures. Upon assessment, the nurse notices the patient’s arm skin is black, dry, and peeling. Which stage of frostbite would the nurse document in the patient’s medical record?
Stage 2
The nurse is caring for a patient about to receive activated charcoal for salicylate overdose. Which information would the nurse include when teaching about this procedure?
Side effects of this procedure include abdominal pain and vomiting.
When caring for a patient with a blood alcohol level of 0.25, which assessment finding would the nurse anticipate?
Vomiting
When a patient presents with benzodiazepines overdose, which body system would be priority for the nurse to assess?
Respiratory system
Which illustration shows an example of “tumble” of a bullet from a gunshot wound?
Image B
A patient who sustained a snakebite was admitted to the emergency department. The patient reports vomiting and the nurse notes swelling at the site of the bite. Which statement made by the nurse indicates an effective understanding regarding the management of the patient’s care? Select all that apply
“I will administer diphenhydramine.”
“ I will administer tetanus prophylaxis to the patient.”
” I will administer IV fluids to the patient.”
Which statement is true regarding the cardiopulmonary bypass rewarming technique?
It is the preferred method for patients in cardiac arrest.
A 13-year-old patient undergoing treatment for cardiac disease is admitted to the hospital for seizure and hypoglycemia. The patient’s medical record reveals low blood pressure and severe hyperkalemia. Which treatment option would be beneficial for this patient ? Select all that
Hemodialysis
Activated charcoal
Benzodiazepines
Which is characteristic for level II trauma center?
It offers comprehensive trauma care for all types of severe injuries.
While caring for a patient in an emergency department who presents with respiratory trauma, the healthcare provider performs a needle decompression. Which is the most likely reason for this action ?
To prevent a pneumothorax from becoming a tension pneumothorax.
Which patient would be at highest risk of acetaminophen toxicity?
Patient diagnosed with liver disease
Which intervention would the nurse anticipate for a patient who presents with acetaminophen overdose?
Activated charcoal
Which procedure would the nurse anticipate being ordered for a patient who ingested a drug packet of heroin 2 hours previously?
Whole bowel irrigation
Which kind of overdose would most likely result in the need for intubation and mechanical ventilation?
Benzodiazepines
Which is a common clinical manifestation of salicylate poisoning? Select all that apply
Nausea
Hallucinations
Hyperthermia
The nurse is teaching about blunt trauma. Which statement indicates successful teaching ?
“Shearing occurs when the skin or tissue slide in opposite but parallel directions.”
Which statement regarding gastric lavage for poisoning would be considered accurate ?
Aspiration is a common adverse effect of this procedure.
Which part of the body is highly susceptible to shearing injuries? Select all that apply.
Large intestine
kidneys
Which outcome should the nurse prepare for when a patient has been bitten by a brown recluse spider?
The bite progresses to extensive local necrosis
The nurse is teaching about snake bites. Which statement indicates successful teaching? Select all that apply.
“The majority of snake bites are on the extremities.”
”Snake bites typically occur when an attempt is made to handle the snake.”
Which is the approximate amount of blood lost due to an ulna fracture in a patient ?
500 mL
A patient experiences a bite and the nurse suspects systemic loxoscelism occuring. Which symptom would lead the nurse to this conclusion? Select all that apply
Hemolytic anemia
Acute renal failure
Disseminated intravascular coagulation
The nurse is concerned about a patient with early signs of disseminated intravascular coagulation. Which test should be reviewed for the presence of potential clotting abnormalities?
Coagulation studies
A nurse is teaching about stabbing injuries. Which statement indicates successful teaching teaching?
“ A stab wound can have more extensive damage on the inside than on the outside.”
Which is a symptom of beta blocker toxicity? Select all that apply.
Hypothermia
Hypoglycemia
Cardiogenic shock
A patient with gastrointestinal bleeding is admitted to the emergency department for vomiting, abdominal pain, convulsions. Which treatment option would be beneficial to a patient with this type of poisoning ? Select all that apply.
IV fluids
Activated charcoal
Sodium bicarbonate
Which Glasgow Coma Scale (GCS) score indicates a moderate brain injury?
10
When a patient is receiving alkalinization therapy for salicylate poisoning, which nursing intervention would most appropriate?
Place patient on continuous cardiac monitoring.
Which clinical manifestations would be associated with phase I of acute acetaminophen overdose?
Nausea
Diaphoresis
Which substance would result in a salicylate overdose if too much is ingested ?
Pepto-Bismol
Which diagnosis would the nurse anticipate for a patient with a middle rib fracture?
Pneumothorax
Which assessment finding would the nurse most anticipate in a patient who nearly drowned?
Acidemia
While caring for a patient in an emergency department who presents with respiratory trauma, the healthcare provider performs a needle decompression. Which is the most likely reason for this action?
To prevent a pneumothorax from becoming a tension pneumothorax.