NMNC 4535 Quiz 3: Trauma

In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?

Brief neurologic assessment

A patient arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority to take?

Deviated Trachea

A trauma patient with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?

Don personal protective equipment.

An older adult man is transported to the emergency department after a motor vehicle crash. Which risk factors for the older adult could have contributed to the crash?

Preexisting health conditions

A 15-year-old male patient arrives at the emergency department. He is conscious, coherent, and ambulatory, but his shirt and pants are covered with blood. He and his hysterical friends are yelling and trying to explain that they were goofing around and he got poked in the abdomen with a stick. Which of the following comments should be given first consideration?

"He pulled the stick out, just now, because it was hurting him."

An emergency room nurse is triaging victims of a multi-casualty event. Which patient should receive care first

A 26-year-old male who has pale, cool, clammy skin

A patient was admitted to the hospital after a crush injury to the chest. The patient sustained multiple rib fractures, a collapsed lung, and several skin abrasions. After the patient is stabilized, which nursing intervention would be a priority for this patient?

Assist to deep breathe and cough every 2 hours

A young male patient has been brought to the emergency department with a knife wound to the abdomen. When the patient's hands are removed from the area of the wound to facilitate assessment, the patient's intestine protrudes from the wound. How should the nurse respond to this development?

Cover the protruding viscera with saline-soaked, sterile gauze.

A trauma patient in the emergency department (ED) is showing signs of acute renal failure that the care team suspects are due to myoglobinuria. The ED nurse should recognize that these problems are most closely associated with what type of injury?

Crush injury

A patient arrived at the emergency department after suffering multiple physical injuries including a fractured pelvis from a vehicular accident. Upon assessment, the client is incoherent, pale, and diaphoretic. With vital signs as follows: temperature of 97°F (36.11° C), blood pressure of 60/40 mm Hg, heart rate of 143 beats/minute, and a respiratory rate of 30 breaths/minute. The patient is mostly suffering from which of the following shock?

Hypovolemic shock