EMR Chapter 18 Study Set

You are caring for a patient with partial thickness burns to the front and back of both of his legs. You estimate the total body surface area burned to be:

36 percent.

A four year old male has fallen off of a play structure at the park. He presents with an abrasion to his right shoulder, which is oozing a small amount of dark red blood. This type of bleeding is best classified as:

Capillary bleeding.

a 42 year old male has been stabbed in the abdomen. His airway is patent and he is breathing 20 times per minute with good tidal volume. He has a rapid and weak pulse, and his skin is pale and diaphoretic. There is not significant external bleeding, but his abdomen is distended, and he guards when you palpate his belly. You should:

Classify him as unstable and initiate rapid transport.

Your patient presents with a wound to her forearm. Your exam reveals a 3cm wound that has smooth edges and appears to go through several layers of tissue. This type of soft tissue injury is best classified as what type of injury?

Laceration.

You are caring for a patient who was the victim of a rollover vehicle accident. The patient has injuries to her head, chest, pelvis, and legs. Her abdomen is rigid and bruised, and she is unconscious. You identify that this patient has suffered what?

Multisystem trauma.

A 32 year old intoxicated male presents with burns to his hands after falling into a bonfire. His hands are blistered and extremely painful. This burn would be classified as:

Partial thickness.

Your patient had severe bleeding from a laceration to the wrist. You have applied a pressure dressing, and the bleeding appears to have stopped. You should:

Prepare the patient for transport.

Your patient presents with skin that is red and painful to the touch after spilling hot coffee on the top of her foot. There are no blisters present. This bur is most appropriately classified as:

Superficial.

A 53 year old male patient has cut his leg with a chain saw. His airway is patent, he is breathing 18 times per minute with good tidal volume, and supplemental oxygen has been applied. Bleeding has been controlled with a tourniquet and the patient is pale, diaphoretic, and anxious. You should:

Treat the patient for shock.

Proper care of a nosebleed in a responsive patient includes:

allowing the patient to spit any blood from her mouth; leaning the patient forward; and pinching the nostrils closed. DO NOT PACK THE NOSE WITH GAUZE.

You are caring for a 9 year old boy who feel off of his skateboard. He has a cut on his right palm that is slowly bleeding. You should FIRST:

apply a dressing.

You arrive at the scene of a motorcycle collision. A 19 year old female patient is bleeding heavily from a wound to her lower leg. You are unable to control the bleeding with direct pressure. You should:

apply a tourniquet.

A patient who has cut himself in the thigh with a chain saw is alert, has a patent airway, an is breathing at a rate of 20 breaths per minute. The patient's pulse is fast and weak. He has active bleeding from the wound cause by the chain saw. All of the following are recommended procedures for stopping the bleeding:

applying direct pressure, using a pressure dressing, applying a tourniquet.

A patient has bright red blood spurting from a laceration to his leg. The bleeding is best described as:

arterial bleeding.

A 56 year old male has amputated his hand during a carpentry accident. Care for this patient should include:

bagging the amputated hand and placing it on ice.

You are treating a 2 year old girl with sand in her eyes after falling at the beach. Your exam reveals visible particles of sand in both eyes. You should:

carefully pour water into the corner of the eye to rinse away the foreign objects.

Care for an evisceration includes:

covering tissue with a moist, sterile dressing; covering with an occlusive dressing; and keeping the patient calm.

The material applied directly to the wound to cover it and control bleeding is called a:

dressing.

Your patient is a 16 year old male who was burned when a propane stove exploded. He presents with partial and full thickness burns to his arms and torso. You should cover his burns with:

dry, sterile dressings.

The rule of nines is a tool used to:

estimate the total body surface area affected by burns.

You are called to assist a patient who has splashed a chemical in his eye. You should:

flush the eyes with water for 20 minutes.

A 10 year old male has a pencil impaled in his cheek. The wound is bleeding heavily and the pencil appears to be blocking the airway. You should:

gently push the pencil back through the cheek wall.

You are caring for a patient who was kicked repeatedly in the chest and stomach during an assault. His skin is cool, pale, and diaphoretic, and his blood pressure is low. You suspect:

internal bleeding.

A patient presents with burns that are red and have blisters. You classify these burns as:

partial-thickness burns.

You are caring for a 23 year old male who cut his wrists with a razor. He is unresponsive and has snoring respirations. You should:

perform a head-tilt-chin-lift.

Hemostatic dressings are used to:

promote clotting with special chemicals.

Your patient presents with an arrow impaled in his chest following a hunting accident. His airway is patent, he is breathing 18 times per minute with good tidal volume, and all bleeding has been controlled. To prepare this patient for transport, you should:

stabilize the arrow with bulky dressings.

Treatment of a patient with second-degree burns on the front and back of both legs would include:

stopping the burning process, covering the burned area with dry, sterile, dressings, removing clothing and jewelry.

A 16 year old male presents with a gunshot wound to the right upper arm. The wound is spurting blight red blood. You should FIRST

take BSI precautions.

You arrive at the local climbing gym to care for a patient who fell from approximately 20 feet onto a concrete floor. The patient is alert but confused. Your physical exam reveals pale skin, an unstable pelvis, abdominal bruising, and a deformed left forearm. You would classify this patient as:

unstable due to multisystem trauma.