Exam 9: Care of the Patient Following Traumatic Injury

Which nursing assessment should have highest priority for early airway management of a trauma patient?

An unconscious patient is brought to the emergency department. During the primary survey, the patient begins to moan when the left arm is moved. How should the nurse document this finding using the AVPU scale?

What should the nurse assess when evaluating breathing in a patient suspected of having thoracic trauma? Select all that apply.

Which patient assessment data supports an open traumatic injury?

A patient with traumatic injuries to the abdomen expresses the fear of dying. What can the nurse do to provide comfort to the patient at this time? Select all that apply.

A nurse notes that a patient with a traumatic brain injury is having a rapid decline in level of consciousness. What should the nurse do to help this patient?

Which interventions should the nurse implement for a patient with a sucking chest wound? Select all that apply.

For which situation should the nurse plan to prepare a patient with abdominal trauma for surgery?

A patient with a C6 spinal cord injury who received several liters of intravenous fluid continues to have a blood pressure of 78/50 mm Hg. What should the nurse anticipate being prescribed for this patient?

What activity should the nurse implement under the A section of assessment priorities when admitting a patient with a suspected spinal cord injury?

What should the nurse do to convey comfort to a trauma patient? Select all that apply.

A patient arrives in the emergency department with a flail chest after a motor vehicle crash (MVC) in which the patient's chest hit the steering wheel. What should the nurse realize this injury is due to?

The mother of a patient just admitted with a spinal cord injury is asking if the patient will be given steroids. How should the nurse explain the role of steroids in treating spinal cord injuries?

The nurse prepares to complete the secondary survey of a patient admitted with a traumatic chest injury. On what should the nurse focus when conducting this survey? Select all that apply.

During the assessment of a patient with a suspected cardiac tamponade, for what should the nurse monitor? Select all that apply.

When performing a quick assessment to identify life-threatening problems in a trauma patient, the nurse should include which assessments under the D-Disability section? Select all that apply.

Which assessment finding indicates that a patient with a traumatic injury is having problems with breathing rather than difficulty maintaining an airway?

Which goals are appropriate for a patient with a traumatic injury and an ineffective breathing pattern? Select all that apply.

The charge nurse delegates the completion of a secondary survey of a patient with traumatic injuries to a nurse being oriented to the emergency department. What should the charge nurse remind the new colleague to complete? Select all that apply.

A patient is being treated for cardiac tamponade. What should the nurse consider as a reason for the health problem to recur?