You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for
... [Show More] emergent intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr.
B) 500 mL/hr.
C) 250 mL/hr.
D) 125 mL/hr.
A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechial to his neck. the patient is exhibiting signs of symptoms commonly associated with which of the following conditions?
A) Acute lung injury
B) Fat embolism
C) PTX
D) Pulmonary contusion
Which pulse pressure description is an indication of early hypovolemic shock?
A) Widened
B) Narrowed
C) Bounding
D) Weak
Which of the following considerations is most important when caring for a geriatric trauma patient?
A) Head to exam
B) Medical history
C) Incontinence
D) Falls
Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax?
A) Increased work of breathing
B) Unilaterally diminished breath sounds
C) Pleurisy chest pain
D) Hypotension that worsens with inspiration
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total BSA burned, how much IV fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
B) Hyperthermia
C) Hemorrhage
D) Sepsis
Which of the following is the priority intervention for this patient?
A) Expedite transport to the CT scanner
B) Prepare the patient for spinal radiographs
C) Expedite transfer to the closest trauma center
D) Notify the patient’s family
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
A) Epidural hematoma
B) Diffuse axonal injury
C) Post-concussive syndrome
D) Subdural hematoma
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
A) To measure oxygenation and ventilation
B) To quantify the base deficit for the adequacy of cellular perfusion
C) To gauge end-organ perfusion and tissue hypoxia
D) To determine the underlying cause of shock
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath [Show Less]