Chapter 13 missed

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Which of the following is the most acute and serious complication associated with a break in the integrity of the skin?

loss of fluids

Damage control resuscitation focuses on:

maintaining circulating volume; controlling hemorrhage; and correcting coagulopathy, acidosis, and hypothermia.

The secondary stage of syphilis is characterized by:

mucous membrane lesions and a rash.

The mouth, nose, and other body orifices are lined with ___________________, which secrete a watery substance and provide a protective barrier against harmful agents.

mucus membranes

A 32-year-old female complains of acute lower abdominal pain that began approximately 1 week after her menstrual period ended. Her blood pressure is 116/66 mm Hg, heart rate is 96 beats/min, and respirations are 14 breaths/min with adequate depth. Further assessment reveals that she is running a fever of 101.6°F. Treatment for this patient should include:

placing her in a position of comfort, starting an IV line at a KVO rate, and transporting to an appropriate hospital.

The ability of a person to effectively compensate for acute blood loss is most directly related to the:

rate of blood loss.

After blood diffuses across the capillary membrane and perfuses the cells, it:

returns waste products to the right side of the heart, starting with the venules.

The corpus luteum is a(n):

small endocrine structure that develops within a ruptured ovarian follicle.

When assessing a 70-year-old male with suspected internal bleeding, which of the following findings would be most pertinent?

Dizziness or syncope upon standing

Which of the following statements regarding schizophrenia is correct?

Early-onset schizophrenia may be associated with brain damage.

Acute abdominal pain and vaginal bleeding during the 23rd week of pregnancy could be caused by any of the following, except

Ectopic pregnancy

Stimulation of beta 1 receptors causes a positive inotropic effect, resulting in

Increased cardiac contracility

A 1-year-old female sustained blunt abdominal trauma following a motor-vehicle crash in which she was not properly restrained. Significant signs and symptoms will most likely occur after as little as ____ mL of blood loss.

100ml

A 32-year-old male was involved in a motorcycle crash and sustained bilateral femur fractures as he was ejected over the handlebars of his bike. He is experiencing signs and symptoms of shock. On the basis of his injury, what is the approximate volume of blood that he has lost?

2 L

Appropriate management of a patient with an abdominal evisceration includes:

A. covering the exposed organs with a moist, sterile dressing and securing the dressing in place with a dry, sterile dressing

A 20-year-old male was shot multiple times during a drive-by shooting. You arrive at the scene, which has been secured by law enforcement, and approach the patient. He is semiconscious and is bleeding heavily from the chest. You should:

A. follow proper standard precautions

A utility worker was trimming branches away from a high power line when he accidentally cut the power line. He is unresponsive, apneic, and pulseless. You should begin CPR and then: A. assess for an entrance and exit wound. B. establish two large-bore IV lines. C. apply full spinal motion restriction precautions. D. apply the AED as soon as possible.

D. apply the AED as soon as possible

When treating a woman with vaginal bleeding and signs of shock, you must:

Observe standard precautions

Approximately 1 week following her menstrual period, a 33-year-old female complains of bilateral lower abdominal quadrant pain, vaginal discharge, and fever. This clinical presentation is most consistent with:

Pelvic inflammatory disease

Which of the following is the most reliable sign of a potentially violent patient?

Physical activity

A 49-year-old female was the victim of a sexual assault. Your assessment reveals that she is conscious and alert and is breathing adequately. There is no gross external bleeding, and her vital signs are stable. You should:

Question her as to the events of the assault

A 21-year-old male has lost approximately 35% of his blood volume following a penetrating injury to the chest. Which of the following signs or symptoms would you not expect to see?

Widened pulse pressure

Following an electrical burn, estimating the extent of the BSA involved is:

difficult because the degree and depth may be greater internally than externally.

A 22-year-old female complains of pain during sexual intercourse. This is referred to as:

dyspareunia

Glycogenolysis is a metabolic process in which:

glucagon converts stored glycogen into glucose

The metabolic conversion of glucose into energy is called:

glycolysis

Which of the following conditions would be least likely to cause an alteration in behavior?

hypertension

Signs and symptoms of hyperthyroidism include

tachycardia, weight loss, and hyperactive reflexes

Death immediately following a burn is MOST commonly the result of:

toxic chemical inhalation.


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