EXAM 26 CH. 34 & 35

Which of the following indications would you see in a patient with moderate ICP elevation? CH34

- Decerebrate posturing - Widened pulse pressure and bradycardia

Which of the following are indicators for Cushing triad? CH34

- hypertension - bradycardia - irregular respirations

Adult patients require 0.25 to 1 inch of padding behind the occiput to maintain neutral position of the cervical spine and avoid hyperextension. T or F CH34

False

Lateral movements provide better spinal alignment than do axial movements. T or F CH 34

False

How should you move an injured patient from the ground to a backboard? CH34

Four-person log roll

You are treating a patient complaining of unrelenting nausea, vomiting, abdominal pain, constipation, dyspnea, and abdominal distention. Which of the following should you suspect? CH35

Diaphragmatic injury

As the air between the pleural membranes increases, what signs/symptoms should you expect? CH35

Diminished breath sounds on the affected side

You are assessing a young woman who fell and hit her head. She is conscious but can't remember the circumstances that led up to the injury. What is this patient experiencing? Ch34

Retrograde amnesia

Which of the following is the correct method for rapid extrication of a patient from a motor vehicle? CH34

apply an extrication collar, slide a long spine board under the patient's buttocks, and remove the patient from the car.

A short backboard or vest-type immobilization device is indicated for which of the following? CH 34

A patient in a sitting position who is clinically stable

You are assessing a patient with a chest injury and suspect he is limiting his chest expansion due to pain. If the patient continues this respiratory pattern, what condition may develop? CH35

Atelectasis

A rise of 20 mm Hg above the patient's normal resting blood pressure along with a history of SCI and associated signs and symptoms indicate the patient is experiencing what? CH34

Autonomic dysreflexia

When immobilizing a child younger than the age of 6 on a long backboard, where do you need to place padding? CH34

Between the shoulder blades

Which of the following is a physical finding of cardiac tamponade? CH35

Breath sounds equal on both sides

You are responding to an older woman who slipped and struck her forehead on the bathtub. She is complaining of having trouble "making her arms work." Which syndrome is this patient exhibiting? CH34

Central cord syndrome

Which of the following is the result of a chest wall impact directly over the heart, especially directly over the left ventricle, that results in cardiac arrest? CH35

Commotio cordis

What is the most reliable sign of a head injury? CH34

Decreased level of consciousness

What might you expect to see on a 12-lead EGC if myocardial contusion is present? CH35

PVCs or PACs

Which of the following is a sign of diminished perfusion? CH35

Pale skin

Which of the following is a classic finding in a fail chest? CH35

Paradoxical motion

Subcutaneous emphysema is an indication of what condition? CH35

Pneumothorax

You are assessing a 30-year-old patient who was struck in the chest by another player's head during a soccer game. Given this MOI, what is the most common thoracic injury? CH35

Pulmonary contusion

When the thoracic trauma patient presents with air bubbles trapped below the skin, the patient is presenting with CH35

Subcutaneous emphysema

When applying a short spine board, what part of the body do you need to secure first? CH34

Torso

Because of their large occiput, pediatric patients require padding under the torso to maintain neutral position and avoid hyperflexion. T of F CH34

True

There is no optimal device for spinal immobilization. T or F CH34

True

A hangman's fracture is an example of a ______ force. CH34

distraction (happens when pulled in opposite directions)

The _____ lobe governs the perception of pain, temperature, and vibration. CH34

parietal

You are treating a 20-year-old patient who was kicked in the head during a soccer game. When you arrive, he is unconscious. His coach reports that after the incident, the patient "seemed a little stunned" but got up to rejoin the game before he suddenly collapsed. A teammate reports that the patient had a prior injury due to a car accident a few weeks ago. What condition does this indicate? CH34

second impact syndrome