# Mod 6 - Sedation, EOL, Trauma, Shock

A restrained (lap and shoulder harness) occupant involved in an MVC can receive what types of injuries from the restraints?

a) lumbar fractures
b) pulmonary contusions
c) facial injuries
d) femur fractures
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Terms in this set (40)
A person comes into the triage room who has been impaled by a knife in the upper abdomen. The triage nurse immediately calls for help. Which of the following actions should be implemented by the nurse in relation to the knife?

a) manipulate the knife to facilitate assessment of injured organs
b) stabilize the knife without removal and minimal manipulation
c) remove the knife and apply pressure
d) disarm the person with the knife
During the secondary assessment, the patient becomes hemodynamically unstable. The nurse should immediately:

a) finish the secondary survey, looking for potential etiologies of instability
b) restart at the beginning of the secondary survey
c) stop the secondary survey and reinstitute the primary survey
d) reevaluate patency and flow rates of IVs
A mechanically ventilated patient has been on a propofol (Diprivan) drip for sedation for 6 days. The morning laboratory report shows a K+ level of 6.0 with blood gases: pH 7.30, pO2 92, pCO2 42, and HCO3 15. Which action should the nurse take first?

a) Turn off the propofol.
b) Increase the rate on the ventilator.
c) Wait for the rest of the morning laboratory work and notify the health care provider (HCP).
d) Administer a prn dose of K+ STAT.
The nurse is performing a "sedation vacation" on a mechanically ventilated patient on a midazolam (Versed) drip. After 15 minutes, the patient's blood pressure and respiratory rate alarms are sounding. Which action should the nurse perform first?

a) Turn the midazolam drip back on.
b) Auscultate heart sounds.
c) Notify the health care provider (HCP).
d) Silence the alarms and continue to observe the patient.
A patient is having bronchoscopy performed with procedural sedation. The nurse notes that the patient is responding appropriately to verbal commands and then going back to sleep. Vital signs are heart rate 102, blood pressure 110/50, respiratory rate 18, and nonlaboured breathing. Which action is appropriate for the nurse to perform?

a) Notify the physician that the patient is not adequately sedated for this procedure.
b) Increase the amount of sedation the patient is receiving.
c) Document the findings and continue to monitor the patient.
d) Decrease the amount of sedation the patient is receiving.
An intubated patient with acute respiratory distress syndrome is experiencing ventilator asynchrony. It is determined that the patient must be started on sedation. The ICU nurse knows that the most appropriate sedation medication for use with this patient includes which medication?

a) Haloperidol
b) Propofol
c) Midazolam
d) Lorazepam