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Emergency Trauma

Terms in this set (34)

The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?
Application of silver sulfadiazine cream
The physician orders haloperidol (Haldol) 2 mg intramuscularly (IM) for a patient who is experiencing a psychiatric crisis. Haldol 5 mg/mL is available. How many milliliters should the nurse give?
0.4 mL
The nurse is preparing teaching for the home treatment of ingested poisons. Which medication is no longer recommended for use at home to induce vomiting for certain ingested poisons?
syrup of ipecac
A patient with a head injury is diagnosed with increased intracranial pressure. In which position should the nurse maintain the patients head to assist in reducing intracranial pressure?
midline
A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?
esophageal burns
When using the Glasgow Coma Scale for a patient involved in a motor vehicle crash, the patient opens the eyes when spoken to and points to the location of pain but is confused in conversation. What score should the nurse assign to this patient?
12
The nurse is caring for a patient who was bitten by a snake. Which action should the nurse take to decrease the effects of the venom?
Keep the patient calm
The nurse is preparing to care for a client with a poisonous snake wound. Which method should the nurse use to cleanse the site?
wash with soap and water
The nurse assists with the provision of an educational program on the symptoms of smallpox. Which response indicates that the participants understand the location that the rash first appears?
tongue and face
The results of a primary survey reveal that a victim of a motor vehicle crash has an open airway, is breathing, and is conscious but bleeding heavily from severe leg injuries. For which complication should the nurse plan care for this client?
hypovolemic shock
The nurse is planning care for a patient with a mental health disorder. Which nursing diagnosis should the nurse select if the patient is demonstrating manic behavior?
Risk for injury
The nurse is evaluating care provided to a patient recovering from a psychotic episode. Which patient statement should the nurse recognize as an indication of reduced anxiety?
I feel calm
The nurse is caring for a patient experiencing acute psychosis. What should the nurse realize as being the purpose of medication for this patient?
reduce psychosis
The nurse is planning care for a patient who experienced a near-drowning. What should the nurse identify as the goal of care for this patient?
maintain ventilation
The nurse ensures that a trauma patient has an effective airway. On what should the nurse focus after the airway has been established for this patient?
breathing
A patient who sustained multiple injuries in a motor vehicle crash is brought to the emergency
department. After the primary survey, what should be the nurses next action?
Complete out a rapid head-to-toe assessment.
A patient is brought to the emergency department after a motor vehicle crash. Which symptom assessed during data collection should the nurse report promptly?
wheezing
A patient who has fallen has superficial abrasions and an abdomen that is distended, firm, and tender when touched. Which complication should the nurse consider that this patient is experiencing?
internal abdominal bleeding
A patient seeking treatment after being in a house fire has thermal burns to the neck and shoulders and singed nasal hairs. Which action should the nurse take first?
monitor respirations
The nurse in the emergency department is triaging victims of a building collapse. Which victim should the nurse determine is a priority for care?
A severely injured patient with a full potential for recovery
A patient who works in a non-air conditioned manufacturing plant is experiencing weakness and a headache. The patients skin is cool and clammy, temperature is slightly elevated, and pulse rate is rapid. For which health problem should the nurse plan care for this patient?
heat exhaustion
A homeless person is brought to the hospital for weakness, feeling faint, and having a headache. The patients skin is cool and clammy and vital signs are temperature 99.9F, pulse 100 bpm, respirations 18/minute, blood pressure 108/60 mm Hg. What action should the nurse take?
Provide oral fluids
The nurse is caring for a patient who has sustained an abdominal injury in a motor vehicle crash. Which symptom should be the most concerning to the nurse?
Blood pressure 104/52 mm Hg
The nurse is providing care to a college student having a psychiatric emergency and related suicide attempt. Which action should the nurse take first?
Determine if alcohol or illicit drugs have been used recently
The nurse determines that a patient has a normal capillary refill time. What was this patients refill time?
3 seconds
A patient with severe hypothermia is comatose with fixed dilated pupils, flaccid muscles, and ventricular fibrillation. Which body temperature should the nurse expect to assess in this patient?
80.6
The nurse is reviewing a 40-year-old patients immunization schedule. At which age should the patient have received the most recent tetanus booster vaccination?
35 years
While assessing a victim of a motor vehicle crash, the nurse notes that the patients trachea is shifted towards the left. What does this finding indicate to the nurse?
Right lung tension pneumothorax
The nurse is caring for a patient with a traumatic brain injury. What should the nurse recognize as manifestations of early increased intracranial pressure (ICP)? (Select all that apply.)
Headache, nausea/vomiting, amnesia, drowsiness, change in level of consciousness, and changes in speech are early signs and symptoms of increased ICP.
The nurse is caring for a patient who reports being bitten by a coral snake less than an hour ago. Which symptoms should the nurse expect to assess in this patient? (Select all that apply.)
Two small puncture wounds
Localized swelling at the site of the bite
Reports of burning pain at the site of injury Discoloration surrounding the site of the bite
A patient brought into the emergency department is diagnosed with shock. Which interventions should the nurse prepare to provide to this patient? (Select all that apply.)
Provide oxygen as prescribed.
Measure and record vital signs.
Provide IV fluids as prescribed.
A patient is experiencing an anaphylactic reaction to peanuts. Which medication should the nurse prepare to administer to this patient? (Select all that apply.)
Steroids
Epinephrine
Antihistamines
The nurse is receiving a victim of a traumatic amputation in the emergency department. What should the nurse do with the amputated limb? (Select all that apply.)
The amputated part is rinsed with saline solution, wrapped in sterile gauze, and placed in a sealed plastic bag, which is then placed on ice.
The nurse is helping triage in the emergency department as victims of an explosion are being brought in. Rank the following patients according to their need for priority treatment according to disaster response protocols and best chance of survival.
Patients who are seriously injured and have the greatest chance of full recovery are treated first. This would be the patient with shortness of breath without any cardiac arrhythmia. The next patient would be the patient with a distended abdomen reporting abdominal pain. The child with a fractured humerus should be treated next. The patient with the foot laceration then be treated. The patient without any pulse or respirations could be seen last.
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