Exam (elaborations)
NUR 211 ED & Trauma Exam 4 Questions and Answers 2024/2025(A+ GRADED 100% VERIFIED).
- Course
- NUR 211
- Institution
- Excelsior College
NUR 211 ED & Trauma Exam 4 Questions and Answers 2024/2025(A+ GRADED 100% VERIFIED).
[Show more]
Content preview
NUR 211 ED & Trauma Exam 4black tarp - ANS expected to die
green tarp - ANS least injured, walk away
yellow tarp - ANS need to be seen w/in 6-12 hrs
red tarp - ANS life threatening injuries with good chance of survival IF treated immediately
for the patient exposed to hazardous chemicals the first step is always - ANS decontamination
EMTALA means that - ANS all clients get stabilized in ER regardless of insurance coverage
consent in AL - ANS § They must be competent (able to make decisions), at age of consent (14
or GED or married or pregnant or divorced)
§ Emergency consent can be used if patient is unable to consent, would likely give consent, and
it is an emergency
primary survey vs. secondary survey - ANS o For very sick client
o Rapid assessment to find life-threatening conditions
o Focuses on airway, breathing, circulation, disability, and exposure (ABCDE)
o Based off measures we can see quickly
- secondary survey is the head to toe
primary survey: airway - ANS § Airway with cervical spine stabilization and/or immobilization,
assess chest injuries
· S/s in patient with compromised airway
o Dyspnea
o Ability to vocalize (airway is good)
o Foreign body
o Facial or neck trauma
· Maintain airway
o Do jaw thrust not head tilt on traumatized pt
primary survey: breathing - ANS · Dyspnea
· Cyanosis
· Paradoxical/asymmetric chest wall movement
· Decreased or absent BS
· Tachycardia
· Hypotension
, -Administer high-flow O2 via a non rebreather mask
-Bag-valve-mask (BVM) ventilation with 100% O2 and intubation for life-threatening conditions
-Monitor patient response
-Insertion of chest tube, reestablish integrity of chest
primary survey: circulation - ANS •Check central pulse (peripheral pulses may be absent
because of injury or vasoconstriction)
-Assess skin for S/S shock
-Insert two large-bore IV catheters - Type & Cross
-Initiate aggressive fluid resuscitation using Normal Saline or Lactated Ringer's solution
-Manage hypothermia
-Check peripheral pulses- closed reductions of fractures if pulseless
primary survey: disability - ANS •Measured by patient's level of consciousness
-AVPU
•A = alert
•V = responsive to voice
•P = responsive to pain
•U = unresponsive
-Glasgow Coma Scale: Assess arousal aspect of patient's consciousness
-Pupils: Size, shape, response to light, equality
-Motor & sensory Evaluation of spine
primary survey: exposure and environmental control - ANS -Remove clothing
-Provide temperature control—avoid hypothermia
primary survey acronym - ANS ABCDE
airway
breathing
circulation
disability
exposure and environmental control
secondary survey acronym - ANS FGHI
full set of vitals/five interventions/family presence
give comfort measures
history and heat-to-toe
inspect posterior surfaces (logroll)
full set of vitals - ANS •Blood pressure (bilateral)
•Heart rate
•Respiratory rate
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTDERRICK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now