Emergency Nursing Orientation 3.0: Abdominal and Genitourinary Trauma - ENA-ENO-C22

Which statement indicates that a patient who sustained a superficial stab wound understands his discharge instructions?

"I will return if I start vomiting."

Which factor is a disadvantage of a focused assessment sonography in trauma?

The test can rarely identify a hollow viscus injury.

Abscess formation is associated with which pathology?

Urethral foreign body

In a hypotensive patient with abdominal trauma, what is the best option for pain control?

Fentanyl (Sublimaze)

Which type of injury requires immediate surgery?

Gastric

For a patient with a severe anterior pelvic fracture, which intervention should be deferred initially?

Insertion of a urinary catheter

Which type of injury is most likely to initially cause a fever and an elevated white blood cell count?

Intestinal

Periumbilical bruising is a sign of which injury?

Intraperitoneal hemorrhage

Injuries affecting which organ may be managed nonoperatively?

Liver

Which organ is most likely to be injured by blunt trauma?

Liver

What is the most common mechanism of injury that causes abdominal trauma?

Motor vehicle collision

Which solid organ is located in the retroperitoneal space?

Pancreas

Which type of injury requires early surgical treatment to prevent urethral stenosis?

Penile

For a hemodynamically stable patient who complains of abdominal and left shoulder pain after falling off a bicycle, which intervention is indicated?

Perform serial abdominal assessments.

Which diagnostic test is used to detect a foreign body?

Plain abdominal radiography

A belted driver is least likely to sustain an abdominal injury in which type of impact in a motor vehicle collision?

Rear

A patient may develop bruising over the flank with which type of injury?

Renal

Bruising over the right upper quadrant and referred pain to the right shoulder are manifestations of an injury to which organ?

Spleen

Injuries to which structure are diagnosed based on patient assessment and the presence of free air on abdominal radiography?

Stomach

Which diagnostic test can best detect a retroperitoneal injury?

Computed tomography scan of the abdomen

For a patient with an evisceration, which intervention is indicated?

Cover the area with sterile, saline-soaked pads.