Key terms
Types of forces that involve rapid or sudden movement forward then backward
Acceleration-deceleration
Team approach to emergency care using _____ & ______ as the standard of care
teamwork and collaboration!
Primary survey is ABCDE. What is E
Exposure
Primarily from dehydration
heat exhaustion
VAE
Voluntary Active Euthanasia
Type of trauma resulting from impact such as fall, assault, motor vehicle crash
Within the parenchyma of the kidney; caused by tubular necrosis, prolonged prerenal ischemia, intrarenal infection or obstruction, and nephrotoxicity
Unique identifiers- list 4
Patient name
DOB
home phone number
address
SS #
MRN
Assessment first performed for client who fell off a roof
cervical spine stabilization
large bore IV
examine long bones
contact immediate family
C-spine
exceeding 104 degrees
heat stroke
Care management approach for the purpose of decreasing suffering
Palliative sedation
Sorting or classifying patients into priority
Triage
Significant safety risk of all patients in the ED...
Medication errors due to the chaotic environment of the frequent interruptions!
Mechanism of injury listed for GSW and stab wounds
blast
penetration
accel-decel
blunt
penetration
4 education points to avoid heat exhaustion
wear light-colored clothing
stay indoors
drink water
take a warm bath to regulate the body temperature
Model for high-quality compassionate care for people facing life-limiting illnesses
Hospice
Specialist who is educated to identify evidence of abuse
Forensic Nurse
MOI
Mechanism of injury
Priority actions for loss of consciousness in ED
administer Epinephrine
feel for pulse
begin chest compressions
use defibrillator
B-C-D-A
core temperature 95
hypothermia
The nurse caring for a client in hospice care who is experiencing dyspnea, RR=30. Select the appropriate interventions
Direct a bedside fan toward the client's face
apply oxygen
administer an anticholinergic SL
administer low dose morphine orally
consult the provider
fan, oxygen, morphine
Priorities of care addressed in order of threat to life
Primary survey
Vulnerable populations
older adults, uninsured, economically disadvantaged, and homeless
First to be seen in ED
Fall from bike
urinary burning and frequency
headache 4 out of 10
new onset facial droop
Facial droop
S/S of severe hypothermia- list 5
bradycardia
severe hypotension
decreased RR
Vfib or asystole
decreased neuro reflexes or coma
unresponsive to painful stimuli
acid-base imbalance
A client receiving palliative care who has advanced dementia is nonverbal and restless and moans when the family attempts to touch or comfort the client. Which nursing intervention is appropriate for this client?
A. Administer acetaminophen rectally for pain
B. Instruct the family to avoid touching the client to prevent pain
C. Provide passive range of motion to increase mobility once a shift
D. Obtain a prescription for transdermal fentanyl for pain
D