"First Aid- Chapter 12- Injuries to the Extremities"

A person who has an injured femur is likely to exhibit signs or symptoms of shock because: The injured leg often turns outward from the body. Emergency medical services (EMS) personnel will put a traction splint on the leg. The femur is the biggest bone in the body. A fractured femur can result in severe bleeding. C & D

A fractured femur can result in severe bleeding.

You are playing soccer when a player on the other team falls. They try to break the fall with an outstretched arm. When they get up, the player is holding their left arm close to their body and is complaining of shoulder pain. How would you initially respond to this suspected shoulder injury? Splint the upper arm to prevent shoulder movement. Allow the person to continue holding their arm in the most comfortable position. Have the person pick up their arm so that you can add padding underneath it before you splint the shoulder. Have the person move their shoulder so that they can tell you exactly where it hurts. Immediately call 911.

Allow the person to continue holding their arm in the most comfortable position.

After applying a splint, which of the following would be least appropriate to do? Elevate the area if doing so does not cause discomfort. Apply heat to the injured area. Comfort and reassure the person. Allow the person to rest in the most comfortable position. Check for circulation and sensation below the injured area.

Apply heat to the injured area.

You suspect that a person has sustained an elbow fracture. The person is bleeding at the suspected fracture site. Which of the following would you do? Apply direct pressure at the site. Apply pressure around the area. Apply a manufactured tourniquet above the injury. Apply a splint directly over the site. Ask the victim to apply direct pressure at the site.

Apply pressure around the area.

When applying a rigid splint to an injured wrist after you have controlled any bleeding, you would follow which sequence? Put the arm in a sling; pad the splint; secure the splint; check the fingers for feeling, warmth and color; secure the arm. Apply the splint; secure the splint; pad the splint; check the fingers for feeling, warmth and color; put the arm in the sling; secure the arm. Check the fingers for feeling, warmth and color; pad the splint; apply the splint; secure the splint; put the arm in a sling; secure the arm; check the fingers for feeling, warmth and color. Secure the splint; check the fingers for feeling, warmth and color; secure the splint; put the arm in a sling; secure the arm.

Check the fingers for feeling, warmth and color; pad the splint; apply the splint; secure the splint; put the arm in a sling; secure the arm; check the fingers for feeling, warmth and color.

The upper extremities include which of the following? Clavicle and scapula Carpals and tibia Radius and fibula Tibia and metatarsals

Clavicle and scapula

A person has sustained an injury to a finger. Which of the following would you be least likely to use to splint the injury? Cotton balls Tongue depressor Popsicle stick Adjacent finger Sling and binder

Cotton balls

While splinting an injured leg, you also notice there is a large laceration on the leg. How would you modify the splinting procedure? Avoid checking the area below the injury for feeling, warmth and color. Place padding over the wound, then tie the splint over the wound. Cover the wound with a dressing and bandage with minimal pressure before splinting. Tie the splint over the open wound to stop any bleeding.

Cover the wound with a dressing and bandage with minimal pressure before splinting.

You would expect to use a sling and a binder to immobilize an injury to which area? Knee Elbow Pelvis Thigh Hand

Elbow

You suspect a forearm injury. Which two joints would you immobilize with a splint? Shoulder and wrist Elbow and wrist Wrist and fingers Elbow and shoulder Forearm and elbow

Elbow and wrist

The forearm describes that portion of the upper extremity from the: Shoulder to the elbow. Elbow to the wrist. Shoulder to the finger. Fingers to the wrist.

Elbow to the wrist.

True or false: After you have splinted an injured body part, you should always call 9-1-1 or the designated emergency number to transport the person to the nearest medical facility.

False

You elevate an injured ankle or foot to reduce pain.

False

You are preparing to apply a soft splint. Which item would be most appropriate to use? Padded metal strips Folded towel Person's body part Folded magazines B & D

Folded towel

A person who has fallen is sitting on the ground complaining of pain in the lower left leg. Someone else has already called 9-1-1. How could you help care for this person while waiting for emergency medical services (EMS) personnel to arrive? Lift the leg up so you can put some blankets underneath it. Have the person rest in the most comfortable position. Place a binder on the injured leg to reduce pain and swelling. Splint it to the other leg to prevent further injury.

Have the person rest in the most comfortable position.

Which of the following would be an effective method for immobilizing an injured shoulder? Applying a rigid splint Using a cravat and a splint Holding the forearm against the chest Using the other shoulder as an anatomic splint All of the above

Holding the forearm against the chest

You suspect that a person has sustained a fractured femur. Which of the following would you expect to find? Inability to move the extremity Minimal to moderate pain Noticeable lengthening of the injured leg Leg with toes pointed toward the center of the body All of the above

Inability to move the extremity

After tying a splint on an injured arm, you find that the person's fingers are turning blue and are cool to the touch. What should you do? Place the fingers in warm water. Cover the person's fingers to keep them warm. Loosen the splint to allow for circulation. Pad the splint further to protect the fingers. Ask the victim to wiggle their fingers to check circulation.

Loosen the splint to allow for circulation.

Which of the following is NOT a sign or symptom of an extremity injury. Inability to bear weight on an injured leg Severe external and internal bleeding Loss of sensation or feeling, or tingling Limb that is cold to the touch None of the above

None of the above

You are preparing to apply a splint to a person's forearm. Which action would you do first? Obtain the person's consent for treatment. Support the injured area above and below the injury. Completely immobilize the wrist and hand. Check for circulation and sensation beyond the injured area. Call 911

Obtain the person's consent for treatment.

While in the park, your friend tells you that they fell and that their knee is causing them severe pain. Which of the following should you NOT do? Stabilize the injury in the position found. Check for and control any bleeding. Place a binder on the injured leg to reduce pain and swelling. Help the person rest in the most comfortable position. Call 9-1-1 or the designated emergency number if a fracture is suspected and the knee is bent.

Place a binder on the injured leg to reduce pain and swelling.

When applying a sling, which of the following would be most appropriate to do? Tie a knot at the center of the back of the neck. Place the triangular bandage over the uninjured shoulder. Place the triangular bandage over the injured arm. Let the sling hang loosely against the chest.

Place the triangular bandage over the uninjured shoulder.

When applying a splint, which of the following would be most appropriate to do? Avoid padding splints to prevent further deformities. Remove any clothing around the injured site. Apply sterile pressure dressings over any open wounds. Push any protruding bones back below the skin. Check for circulation and sensation above the injured area.

Remove any clothing around the injured site.

A person with an upper arm injury can comfortably bend their elbow. Which of the following would you use to splint the area? Sling and binder Soft splint Rigid splint Other arm No need to splint since movement is possible.

Sling and binder

If the person must be moved, the best way to immobilize an ankle or foot injury is with a: Board. Soft splint. Rigid splint. Traction splint. Sling

Soft splint.

When splinting an injured body part, which action would be most appropriate? Supporting the injured part in the position you find it Using a rigid splint for all injured body parts Lowering the injured part below the heart Keeping the injured part as straight as possible All of the above

Supporting the injured part in the position you find it

A fracture of the femur may cause the injured leg to appear shorter than the other leg due to contraction of which of the following? Calf muscles Back muscles Hip muscles Thigh muscles None of the above

Thigh muscles

The lower extremities include which body parts? Carpals and tibia Tibia and metatarsals Clavicle and scapula Radius and fibula

Tibia and metatarsals

A fractured femur is a serious life-threatening injury that requires immediate medical attention because blood vessels and nerves may be damaged and blood loss can be severe if the femoral artery is damaged.

True

In addition to damaging bones and muscles, injuries to the extremities may damage blood vessels, nerves and other soft tissues.

True

Injuries to the elbow can cause permanent disability because all the nerves and blood vessels that supply the forearm and hand go through the elbow.

True

True or false: The care for wrist injuries is the same as the care for forearm injuries.

True

You check the feeling, warmth, and color below the splint to ensure it has not impaired circulation to body parts beyond the area of the splint after it was applied.

True