Exam 34: Trauma

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

The nursing care plan of a patient with a diffuse axonal injury (DAI)would involve which of the following considerations?

Which mechanisms caused by circulating myoglobin can lead to the development of kidney failure?

A patient who was an unrestrained driver in a high-speed,head-on motor vehicle collision presents with dyspnea,tachycardia,hypotension,jugular venous distention,tracheal deviation to the left,and decreased breath sounds on the right side.What is the most likely diagnosis?

Clinical manifestations of abdominal compartment syndrome include which of the following?

A patient's condition has deteriorated.Changes in condition include trachea shift,absence of breath sounds on the left side,and hypotension.The nurse suspects that the patient has developed a(n)

A patient was thrown 30 feet from an open-top Jeep and straddled a row of mailboxes before she landed on the ground.She has an open pelvic fracture.The nurse admitting the patient into the ICU knows that

Motor vehicle crashes (MVCs)and falls are the greatest cause of

Which of the following will cause a nurse to suspect that a patient's pulmonary contusion is worsening?

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

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?

When opening the airway of an unresponsive trauma patient in the emergency department,which of the following considerations is correct?

The majority of falls accounting for traumatic injury occur in what population?

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 dynes/sec.What is the most likely cause of this hemodynamic picture?

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 with a Le Fort III facial fracture has been admitted to the ICU.Which of the following statements is true regarding this type of facial fracture?

The AVPU is a way for the nurse to quickly assess a patient's

Which of the following physiologic changes caused by aging is the most likely contributor to the high mortality rate in older trauma patients compared with younger trauma patients?

Patients immobilized because of spinal trauma are at a high risk for contractures.Preventive measures should include

Signs and symptoms associated with a flail chest include