Exam 19: Trauma and Surgical Management

An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.This patient should be treated at which level trauma center?

Which of the following patients have the greatest risk of developing acute respiratory distress syndrome (ARDS)after traumatic injury?

A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded.What assessment data suggest the patient suffered tissue damage consistent with a blast injury?

During the treatment and management of the trauma patient,maintaining tissue perfusion,oxygenation,and nutritional support are strategies to prevent:

The correct order of actions in the management of the postoperative surgical trauma patient who has been admitted to the critical care unit after surgery is: _______________,_______________,_______________,_______________.(Put a comma and space between each solve choice.) A) Connect the patient to bedside monitor and mechanical ventilator.  B) Obtain vital signs, rhythm, oxygen saturation, and neurological status.        C)  Assess airway, breathing, and circulation.      D)  Reassess and evaluate patency of IV lines, and adjust rate of fluid administration as ordered.

Which of the following best defines the term traumatic injury?

The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient.The nurse recommends which of the following emergency procedures to facilitate rapid fluid administration?

The nurse is caring for a patient who sustained rib fractures after hitting the steering wheel of his car.The patient is spontaneously breathing and receiving oxygen via a face mask; the oxygen saturation is 95%.During the nurse's assessment,the oxygen saturation drops to 80%.The patient's blood pressure has dropped from 128/76 mm Hg to 84/60 mm Hg.The nurse assesses that breath sounds are absent throughout the left lung fields.The nurse notifies the physician and anticipates:

Range-of-motion exercises,early ambulation,and adequate hydration are interventions to prevent:

A near-infrared spectroscopy (NIRS)probe is placed in a trauma patient during the resuscitation phase to:

A 24-year-old unrestrained driver who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.The primary survey of this patient upon arrival to the ED: