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Chapter 69 Emergency Trauma care

front 1

The nurse is caring for a patient who has fractured the femur. Which is the approximate amount of blood loss that can be expected?

back 1

1,500 mL

front 2

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?

back 2

Stage 2

front 3

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?

back 3

Side effects of this procedure include abdominal pain and vomiting.

front 4

When caring for a patient with a blood alcohol level of 0.25, which assessment finding would the nurse anticipate?

back 4

Vomiting

front 5

When a patient presents with benzodiazepines overdose, which body system would be priority for the nurse to assess?

back 5

Respiratory system

front 6

Which illustration shows an example of “tumble” of a bullet from a gunshot wound?

back 6

Image B

front 7

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

back 7

“I will administer diphenhydramine.”

“ I will administer tetanus prophylaxis to the patient.”

” I will administer IV fluids to the patient.”

front 8

Which statement is true regarding the cardiopulmonary bypass rewarming technique?

back 8

It is the preferred method for patients in cardiac arrest.

front 9

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

back 9

Hemodialysis

Activated charcoal

Benzodiazepines

front 10

Which is characteristic for level II trauma center?

back 10

It offers comprehensive trauma care for all types of severe injuries.

front 11

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 ?

back 11

To prevent a pneumothorax from becoming a tension pneumothorax.

front 12

Which patient would be at highest risk of acetaminophen toxicity?

back 12

Patient diagnosed with liver disease

front 13

Which intervention would the nurse anticipate for a patient who presents with acetaminophen overdose?

back 13

Activated charcoal

front 14

Which procedure would the nurse anticipate being ordered for a patient who ingested a drug packet of heroin 2 hours previously?

back 14

Whole bowel irrigation

front 15

Which kind of overdose would most likely result in the need for intubation and mechanical ventilation?

back 15

Benzodiazepines

front 16

Which is a common clinical manifestation of salicylate poisoning? Select all that apply

back 16

Nausea

Hallucinations

Hyperthermia

front 17

The nurse is teaching about blunt trauma. Which statement indicates successful teaching ?

back 17

“Shearing occurs when the skin or tissue slide in opposite but parallel directions.”

front 18

Which statement regarding gastric lavage for poisoning would be considered accurate ?

back 18

Aspiration is a common adverse effect of this procedure.

front 19

Which part of the body is highly susceptible to shearing injuries? Select all that apply.

back 19

Large intestine

kidneys

front 20

Which outcome should the nurse prepare for when a patient has been bitten by a brown recluse spider?

back 20

The bite progresses to extensive local necrosis

front 21

The nurse is teaching about snake bites. Which statement indicates successful teaching? Select all that apply.

back 21

“The majority of snake bites are on the extremities.”

”Snake bites typically occur when an attempt is made to handle the snake.”

front 22

Which is the approximate amount of blood lost due to an ulna fracture in a patient ?

back 22

500 mL

front 23

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

back 23

Hemolytic anemia

Acute renal failure

Disseminated intravascular coagulation

front 24

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?

back 24

Coagulation studies

front 25

A nurse is teaching about stabbing injuries. Which statement indicates successful teaching teaching?

back 25

“ A stab wound can have more extensive damage on the inside than on the outside.”

front 26

Which is a symptom of beta blocker toxicity? Select all that apply.

back 26

Hypothermia

Hypoglycemia

Cardiogenic shock

front 27

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.

back 27

IV fluids

Activated charcoal

Sodium bicarbonate

front 28

Which Glasgow Coma Scale (GCS) score indicates a moderate brain injury?

back 28

10

front 29

When a patient is receiving alkalinization therapy for salicylate poisoning, which nursing intervention would most appropriate?

back 29

Place patient on continuous cardiac monitoring.

front 30

Which clinical manifestations would be associated with phase I of acute acetaminophen overdose?

back 30

Nausea

Diaphoresis

front 31

Which substance would result in a salicylate overdose if too much is ingested ?

back 31

Pepto-Bismol

front 32

Which diagnosis would the nurse anticipate for a patient with a middle rib fracture?

back 32

Pneumothorax

front 33

Which assessment finding would the nurse most anticipate in a patient who nearly drowned?

back 33

Acidemia

front 34

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?

back 34

To prevent a pneumothorax from becoming a tension pneumothorax.