Exam 25: Trauma

A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury, a right-sided pneumothorax, right rib fractures, a grade IV liver laceration, a pancreatic contusion, and a right acetabular fracture.The patient is still intubated and mechanically ventilated and has a chest tube, Foley catheter, and two abdominal drains.The patient's hemodynamic assessment reveals the following values: BP, 94/66 mm Hg; HR, 118 beats/min; T, 38.7° C; CVP, 5 cm H₂O; wedge pressure, 6 mm Hg; cardiac index, 6.1; and systemic vascular resistance, 450 dyns/sec.The patient is at the greatest risk to develop

A patient is admitted to the ICU with a C5-C6 subluxation fracture.He is able to move his legs better than he can move his arms.Caring for the patient would include which of the following interventions?

Signs and symptoms associated with a flail chest include

During assessment of a patient who is new to the critical unit, the nurse observes perianal ecchymosis.The nurse suspects the patient has a

A patient's condition has deteriorated.Changes in condition include trachea shift, absence of breath sounds on the left side, and hypotension.A chest tube was inserted on the left side with 1800 mL of blood removed.The nurse expects that the patient will be taken to surgery for a

A patient has sustained an epidural hematoma after a 10-foot fall from a roof.Which of the following is true about epidural hematomas?