NUR TRAUMA EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024 100% A GRADED
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Course
TRAUMA (TRAUMA)
Institution
Chamberlain College Of Nursing
1. WhatS happening to CF
A Patient was stabbed on left chest 5th ICS MCL, diminished breath sounds LLL field, there is blood coming out, patient also present the sign of abdominal muscle guarding.
2. What is your impression?
Pneumothorax & Hemothorax secondary to stab wound at 5th ICS MCL
...
nur trauma exam questions and answers latest updat
what happening to cf patient was stabbed on left
how will you manage patient initially initial m
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NUR TRAUMA EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2024 100%
A GRADED
SGD Group 8 TRAUMA
1. What happening to CF
Patient was stabbed on left chest 5th ICS MCL,
diminished breath sounds LLL field, there is blood coming
out, patient also present the sign of abdominal muscle
guarding.
2. What is your impression?
Pneumothorax & Hemothorax secondary to stab wound
at 5th ICS MCL
-Beceause decease in tactile fremits and decrease
breath sound in LLL
3. How will you manage patient initially?
-initial manage by occlusive dressing secured on 3 sides to
prevent tension pneumothorax
-Request chest X-Ray for confirmatory diagnosis
-Then place chest tube, to evacuate the air out
-Give antibiotic prophylaxis (2nd GEN Cefoxitin) and tetanus
toxoid
4What is ATLS
-ATLS is “The Advance Life Support”-This refers to the
primary survey as assessment of ABCDE
. A: Airway and C-spine control-> Place the patient on
neck collar
. B: Breathing-> Evaluate BS-> Decrease BS may
indicate a pneumothorax
. C: Circulation-> Check any sign of shock (Low
BP<90mmHg, HR>100bpm, UOP<0.5ml/ kg/hr)
. D: Disability prevention-> Apply splint
. E: Exposure-> Make sure there are no others injury
5.What will be your admitting order? Why?
Date and time : Febuary 11, 2018 :
Name : C.F Age : 26
,NUR TRAUMA EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2024 100%
A GRADED
Admit: to general surgery ward, under the service of
Dr. ..................
Secure consent to careProblem: stab wound at 5th left
ICS MCL
Admitting diagnosis: Pneumothorax & Hemothorax
secondary to stab wound at 5th ICS MCL
Vital signs: BP-120/80 mmHg , HR-110/min , RR-30/min , T-
36.3 C
Frequency (per routine); q4° when awake / q4° / q2° × 3
then q4° Allergies: no food and drug allergies
Condition: guarded, seriousActivity : CBR w/ TP (complete
bed rest w/ toilet privilege)
Diet : place patient on NPOIV: D5LR 30 gtts/min
Medication:
- give tetanus IgG- Meperidine (Demerol), 25-100 mg IV q4-
6hr as need for pain
- Ranitidine
-Antibiotics
Laboratory: ECG, CBC, platelet, blood typing and cross
match, bleeding time, U/A, serum creatinine and BUN ,
secure 2 bags of Imaging: chest x-ray AP view
Special instruction: prepare for CTT insertion , inform
anesthesiologist insert NGT F 18
Nursing: monitor I/O, urine output >0.5 cc/kg/hr for 3
consecutive
Notify MD if: watch out for hypotension (SBP< 90 or >160
mmHg ,) ,Temp 39 C and dyspnea Signature: Dr...................
6. Why request Chest X-Ray?
-chest x-ray plate can be made easily in evaluation of
patient’s with chest injuries
-inspiratory and expiratory news, along with lateral
projections are very helpful in stable patients
-The x-ray must be fully scrutinized for the presence of soft
tissue and bone injuries of great important for the
, NUR TRAUMA EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2024 100%
A GRADED
interpretation of structures with in the thorax, neck and
abdomen
-Pneumothorax, hemothorax, wide mediastinum,
subcutaneous air, pneumomediastinum, and pulmonary
contusion, all having important diagnostic and therapeutic
implications.
7. If X-Ray shows blunting of Left costophrenic angle, what
does it mean?
-In the frontal projection, the most inferior visible portion of
diaphragm meets the lateral chest wall at an acute angle
which is called the CPA or sulcus
-It is sharply and clearly defined in normal subject but maybe
obliterated in patients with diseases that
8.What are the indications for inserting a chest tube ? Why?
Indications:A chest tube is indicated to drain the contents
of the pleural space. Usually this will be air or blood, but may
include other fluids such as chyle or gastric/oesophageal
contents. Chest tube insertion is also appropriate to prevent
the development of a pleural collection, such as after a
thoractomy or to prevent a tension pneumothorax in the
ventilated patient with rib fractures.
•Pneumothorax: accumulation of air or gas in the pleural
space
•Pleural effusion: accumulation of fluid in the pleural space
oChylothorax: a collection of lymphatic fluid in the pleural
spaceoEmpyema: a pyogenicinfection of the pleural space
oHemothorax: accumulation of blood in the pleural space
oHydrothorax: accumulation of serous fluid in the pleural
spaceAbsolute Indications:
•Pneumothorax (tension, open or simple) : Drainage of large
pneumothorax (greater than 25%)
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