Exam (elaborations)
Nursing Care: Trauma And Emergency – Qs And As
- Course
- Institution
Nursing Care: Trauma And Emergency – Qs And As
[Show more]
Seller
Follow
Studyhall
Reviews received
Content preview
Nursing Care: Trauma And Emergency – Qs And AsA nurse is performing a primary survey in the emergency department.
Identify components of the primary survey. Select all that apply.
Correct Ans - Circulation
Exposure
Disability
Breathing
Alertness
While conducting the primary survey, it may be necessary to gather
additional data. Which adjunct measures should be initiated? Select all that
apply. Correct Ans - Collect blood specimens for laboratory testing
Monitor oxygenation
Initiate continuous cardiac monitoring
Determine pain level
A client presents to the emergency department with periorbital bruising
and a dysconjugate gaze (failure of the eyes to turn together in the same
direction). Which intervention is contraindicated? Correct Ans -
Insert a nasogastric tube
A 28-year-old arrives to the emergency department stating, "I have been
vomiting all night. I think I ate some bad shellfish." The client reports
abdominal cramping with pain 4/10 and diarrhea but denies fever.
Vital Signs:
T 97.8ºF (36.6ºC)
HR 94
P 121/74
R 16 Correct Ans - Client 1 is assigned an ESI level of 5
A 22-year-old arrives to the emergency department in severe respiratory
distress stating, "I used my inhaler but it is not working". She has a history
of asthma.
Vital Signs:
T 98.6ºF (37ºC)
HR 125
BP 140/92
R 34 Correct Ans - Client 2 is assigned an ESI level of 1.
, A 50-year-old construction worker arrives to the emergency department
complaining of significant low back pain 8/10 and muscle spasms.
Vital Signs:
T 97.9ºF (36.6ºC)
HR 99
BP 135/82
R 20 Correct Ans - Client 3 is assigned an ESI level of 4
A mother brings her 10-month-old infant to the emergency department
reporting vomiting for 2 days. The infant appears lethargic and hypotonic.
Anterior fontanelle is depressed.
Vital Signs:
T 100.4ºF (38ºC)
HR 165
BP 72/40
R 40 Correct Ans - Client 4 is assigned an ESI level of 2
A client presents to the emergency department following a motor vehicle
accident. During the primary survey, the nurse found asymmetric chest
wall movement and absent breath sounds on the left side. What should be
the priority action by the nurse? Correct Ans - Begin ventilation
with 100% oxygen via bag-valve-mask
The body loses heat by four mechanisms: radiation, conduction, convection,
and evaporation. Match the type of heat loss to the example. Correct
Ans - Bed near a cold window = Radiation
Cold operating room table= Conduction
Wind chill= Convection
Wet clothing= Evaporation
The nurse is caring for a homeless client who arrived at the emergency
department with a core body temperature of 87ºF (30.5ºC). What
assessment findings should the nurse anticipate? Select all that apply.
Correct Ans - Kussmaul respirations
Hematocrit 55%
Bradypnea
Shivering
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 Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now