Chapter 9 Trauma and Mobile Considerations - Test

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1

When called to the emergency room, supplies needed may include:

A) Gloves
B) A mask
C) A protective gown
D) Goggles
E) all of the above

E) all of the above

2

True or False?

When caring for a patient with a traumatic injury, you should remove dressings of splints immediately.

False

3

List the guidelines that you should follow when caring for a patient with a traumatic injury.

1. Do not remove splints
2. Do not remove from stretcher or backboard
3. Never move neck or collar with cervical trauma
4. Request direction from ER when planning moves
5. Do not disturb impaled objects
6. Do not remove pneumatic aftershock garments
7. Have emergency stuff ready (oxygen etc...
8. Work quickly and effectively

4

Possible members of the emergency room health care team include all of the following , except:

A) Emergency Physician
B) Emergency RN
C) Respiratory therapist
D) Anesthesiologist
E) Emergency psychiatrist

E) Emergency psychiatrist

5

List possible members of the emergency room health care team.

ER Physician
2 ER RN
Respiratory therapist
Anesthesiologist
general surgeon (or specialty)
Pediatric RN
Radiology Tech
Phlebotomist
Admitting clerk
House supervisor

6

A radiographer must consider that all patients with head injuries may also have:

A) Fractures
B) Seizures
C) Shock
D) Cervical spine injuries
E) Changes in vital signs

D) Cervical spine injuries

7

What precaution(s) must be followed when taking radiographic exposures of a patient who has a head injury?

A) Keep the head and neck immobilized until the physician in charge rules out cervical spine injury.
B) Wear sterile gloves if the patient has open wounds.
C) Check the patient’s vital signs frequently.
D) a and be.a, b, and c

D) a and be.a, b, and c

8

What precaution(s) must a radiographer take when caring for a patient with a fractured extremity?

A) Support the joint above and below the fracture and at the joints if moving a splinted limb.
B) Do not remove splints without the direction of the physician in charge.
C) Inform the patient before moving the fractured limb.
D) None
E) a, b, and c

E) a, b, and c

9

You have been assigned to radiograph Mr. J. J. He has been transported by the local police to the emergency room of the hospital in which you are employed. He is complaining of severe pain in his right leg. As you approach the patient, you notice that he is walking rapidly up and down the corridor. His head is bent and he is talking rapidly to persons who are not present. He occasionally stops, looks up at the ceiling, and shouts that he has to “get them.” Your best manner of dealing with this situation would be to do what?

A) Walk directly up to the patient, introduce yourself, and explain your purpose in being there.
B) Get an assistant, approach the patient from his or her side, stop slightly away from the patient, and explain your purpose.
C) Tell the emergency room nurse to forget it.
D) Have the male orderlies restrain the patient.

B) Get an assistant, approach the patient from his or her side, stop slightly away from the patient, and explain your purpose.

10

List the factors that you must consider when caring for the patient with acute abdominal distress.

blunt or penetrating trauma
appendicitis
bleeding ulcers
ectopic pregnancy
cholecystitis
pancreatitis
bowel obstruction

11

Special care is necessary when caring for a patient whose brain or spinal cord might be injured because:

A) Extreme pain may result from the movement
B) This type of injury heals slowly
C) The incidence of infection is high
D) These tissues have very little ability to heal

D) These tissues have very little ability to heal

12

What is the leading cause of death for all persons under 44 years of age?

A) Cancer
B) Stroke
C) Trauma
D) Drowning

C) Trauma

13

List some causes of injuries.

drowning
car accident
pedestrian accident
falls
assault
blunt trauma
choking
work accidents
smoke
sports

14

List the basic rules in trauma radiography.

assess
action plan
determine mobility
explain procedure
determine equipment needed
2 images at 90 degrees per body image
include all anatomy

15

True or False?

When the environment to provide patient care is in the home, the standards of patient care should remain the same.

True

16

Explain when the cervical collar may be removed on a trauma patient.

if the doctors order it removed

17

An oozing of blood from a vessel into tissue, forming a discolored area on the skin

A) Ecchymosis
B) contusion
C) pneumothorax
D) hypovolemia
E) hemothorax

A) Ecchymosis

18

An injury that does not break the skin; caused by a blow to the body; characterized by swelling, discoloration and pain

A) Ecchymosis
B) contusion
C) pneumothorax
D) hypovolemia
E) hemothorax

B) contusion

19

An accumulation of air or gas in the pleural cavity resulting in collapse of the lung on the affected side

A) Ecchymosis
B) contusion
C) pneumothorax
D) hypovolemia
E) hemothorax

C) pneumothorax

20

Collection of blood in the pleural space

A) Ecchymosis
B) contusion
C) pneumothorax
D) hypovolemia
E) hemothorax

E) hemothorax

21

Abnormally decreased volume of circulating fluid (plasma) in the body

A) Ecchymosis
B) contusion
C) pneumothorax
D) hypovolemia
E) hemothorax

D) hypovolemia

22

An abnormal pregnancy in which the embryo implants outside the uterine cavity is known as an _______ pregnancy.

ectopic

23

True or False?

The radiographer must interpret the radiograph to confirm the diagnosis ot "clear" the cervical spine from injury before removing the cervical collar.

False

The physician must confirm the diagnosis.

24

Multiple rib fractures can cause flail chest, which in turn can result in pneumothorax or ______.

hemothorax

25

In a patient with a closed head injury, ____ periods may be followed by periods of unconsciousness.

lucid

26

True or False?

Factors to consider when caring for a patient with acute distress include possible external hemorrhage, appendicitis, bleeding ulcers, ectopic pregnancy, cholecystitis, pancreatitis, and bowel obstructions

False

These factors are considered for a patient with acute abdominal distress

27

What is the leading cause of death for all age groups under 44 years?

A) drowning
B) trauma
C) cancer
D) stroke

B) trauma

28

True or False?

When preforming an exam of a patient with a traumatic injury, never move the patients head or neck or remove the cervical collar.

True

29

Paralysis affecting one side of the body

A) abrasion
B) somatic
C) cervical
D) paresthesia
E) hemiparesis

E) hemiparesis

30

of or pertaining to the neck

A) abrasion
B) somatic
C) cervical
D) paresthesia
E) hemiparesis

C) cervical

31

A scraping or rubbing away of the surface skin by friction.

A) abrasion
B) somatic
C) cervical
D) paresthesia
E) hemiparesis

A) abrasion

32

pertaining to of characteristic of the body

A) abrasion
B) somatic
C) cervical
D) paresthesia
E) hemiparesis

B) somatic

33

An abnormal sensation such as burning, itching, tickling, or tingling

A) abrasion
B) somatic
C) cervical
D) paresthesia
E) hemiparesis

D) paresthesia