Secondary Assessment - correct answer F-Full, Focused, Family, G-Give comfort, H-
History, Head to toe, I-Inspect posterior
Complete Spinal Immobilization inlcudes - correct answer Application of a rigid cervical
collar, placing the pt on a backboard and appropriate strapping to board. (2nd
assessment)..
Where do you auscultate breath sounds? - correct answer At the 2nd intercostal space
midclavicular line and the at the 5th intercostal space at the anterior axillary line.
Late signs of breathing compromise are - correct answer Tracheal Deviation and
Jugular Vein distention.
What does AVPU stand for in the neurological Disability assessment? - correct answer
A: Alert- is pt alert and responsive.
V: Verbal- do they respond to verbal stimuli
P: Pain-Responds to painful stimulus.
U: Unresponsive.
(also check GCS score and pupils )
Things to assess for airway obstruction. - correct answer -Vocalization (crying moaning)
-Tongue obstructing the airway.
-Loose teeth or foreign objects.
-Blood, vomitus, secretions
-Edema.
What are the assessments for Breathing? - correct answer Spontaneous breathing, rise
and fall of chest, rate and pattern of breathing, Skin color, Intergrity of chest wall (soft
tissue and bony structures), Bilateral breath sounds.
After ET tube placement you must. - correct answer Observe for the rise and fall of the
chest with bag-valve ventilations.
Auscultate over the epigastric area AND then asucultate bilateral breath sounds
Use exhaled CO2 deterctor.
When you assess for circulation you - correct answer Assess central pulses, note
obvious signs of bleeding and LOC, look for vein distention.
Inspect and Palpate skin:
Assess for color (pale, pink), Temperature (warm, cold)
Moisture (Dry, Moist), Capillary refill.
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