Burns
Fasciotomy is a surgical procedure utilized for what kind of burns?
What is electrical burns (high voltage)
A football player has just experienced a head injury during a football game. What is the priority intervention for the care of this injured player?
A. Take the player off the field with a wheelchair
B. Stabilize the head & neck until the injury is confirmed
C. Have the player carry the injured player off the field
D. Let the player walk off the field
B. Stabilize head & neck until injury is confirmed
What is the correct way to don PPE?
Gown, mask, goggles, gloves
A patient is experiencing a hemorrhagic stroke, what would we expect the blood pressure to be?
A. 60/95 mmHg
B. 123/80 mmHg
C. 156/98 mmHg
D. 220/120 mmHg
D. 220/120 mmHg
which of the following diagnostic tests is preferred for evaluating heart valve function?
A. chest xray
B. Duplex doppler
C. Echocardiogram
D. Electrocardiogram
C. Echocardiogram
A fourth degree burn consists of what?
What is all layers plus muscles, bones, and tendons
True or False, the spinal cord can still recieve and send messages to the brain with a complete spinal injury
False
What is considered an urgent situation when triaging patients?
A person coming into the ED with severe trouble breathing, suspected heart attack, and large broken bones
Four days following a stroke, a patient is to start oral fluids and feedings. Before feeding the patient, what should the nurse do first?
A. Check the patient’s gag reflex.
B. Order a soft diet for the patient.
C. Raise the head of the bed to a sitting position.
D. Evaluate the patient’s ability to swallow small amounts of crushed ice or ice water.
A. Check the patient's gag reflex
Prolonged pressure on the skin causes reddened areas at the point of contact due to
A. arterial vasodilation from smooth muscle relaxation
B. compression of veins resulting in venous engorgment
C. occlusion of major arteries causing infarction of the tissue
D. tissue damage and inflammation resulting from impaired capillary blood flow
D. tissue damage and inflammation resulting from impaired capillary blood flow
What form of dressings should be avoided when caring for burns?
What is wet to dry dressings
Spinal cord injuries above C4 will require what priority intervention?
A. Monitor vitals Q15Min
B. Nasal cannula 2-6 L/min
C. Ventilator support
D. ECG
C. Ventilator support
When a patient experiences compartment syndrome, how long do they have before the damage is irreversible?
4-6 hours
A. carotid endarterectomy
B. intra-aortic balloon counterpulsation
C. IV penicillin
D. Osmotic diuretic, mannitol
D. osmotic diuretic, mannitol
Hypertension is known as the silent killer. Hypertension is often goes undetected until other sytem failures occur. This may occur in the form of:
A. Cerebrovascular accident
B. Liver disease
C. Myocardial Infarction
D. Pulmonary disease
A. Cerebrovascular accident
Fluid resuscitation if required when TBSA burned is more than what percentage?
What is 20%
What are the manifestations of a Basilar skull fracture
CSF leakage
Rhinorrhea
Otorrhea
Raccoon eyes
ecchymosis under eyes
What are the 6 P's of a neurovascular assessment?
Pain, pressure, paralysis, pallor, pulselessness, paresthesia
A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate?
A. "The obstructing plaque is surgically removed from an artery in the neck"
B. "The diseased portion of the artery in the brain is replaced with a synthetic graft"
C. "A wire is threaded through an artery in the leg to the clots in the carotid artery and clots are removed"
D. "A catheter with a deflated balloon is positioned at the narrow area, and inflated to flatten the plaque"
A. "The obstructing plaque is surgically removed from an artery in the neck"
A major consideration in the management of the older adult with hypertension is to:
A. prevent pseudohypertension from converting to true HTN
B. recognize that the older adult is less likely to comply with the drug therapy than a younger adult
C. ensure that the patient recieves lather intial doses of antihypertensive drugs because of impaired absorption
D. use careful technique in assessing the BP of the pt because of the possible presence of an auscultatory gap
D. use careful technique in assessing the BP of the pt because of the possible presence of an auscultatory gap
The crystalloid (lactated ringers) is typically utilized in fluid resuscitation, why is this?
What is the Ph and osmolarity of lactated ringers is similar to that of human plasma
A nurse is observing a client who may present signs of neurogenic shock. What are some manifestations of this shock? SATA
A. Hypotension
B. Bradycardia
C. Dry, warm skin
D. Cool, moist skin
E. Tachycardia
A. Hypotension
B. Bradycardia
C. Dry, warm skin
In a mass casulaty situation, cardiac arrest and massive head trauma are considered to be what color?
Black
A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the pt for
A. Surgical endarterectomy
B. Transluminal angioplasty
C. Intravenous heparin administration
D. Tissue plasminogen activator (tPA) infusion
D. Tissue plasminogen activator (tPA) infusion
When assessing an ECG, the nurse know that the PR interval represents the time it takes for the:
A. impulse to begin atrial contraction
B. impulse to transverse the atrial to the AV node
C. SA node to discharge the impulse to begin atrial depolarization
D. impulse to travel to the ventricles
D. impulse to travel to the ventricles