Exam 33: Trauma

Major trauma patients are at high risk of developing deep venous thrombosis and pulmonary embolism.The nurse understands that trauma patients are at risk due to which factors?

A patient is admitted with a C5-C6 subluxation fracture.He is able to move his legs better than he can move his arms.Nursing care for the patient includes which intervention?

A patient has been admitted with a flail chest and pulmonary contusion.Which finding will cause a nurse to suspect that the patient's condition is deteriorating?

A patient with a Le Fort III facial fracture has been admitted to the critical care unit.Which statements is true regarding this type of facial fracture?

The nurse is caring for a patient with blunt abdominal trauma.The nurse understands that patient is at risk for abdominal compartment syndrome.Which findings would the nurse expect to note as evidence of this complication?

Older trauma patients have a higher mortality than younger trauma patients.The nurse understands that this fact is probably related to what physiologic change?

A patient developed a hemothorax after a blunt chest trauma.The practitioner inserted a chest tube on the left side,and 1800 mL of blood was evacuated from the chest.The nurse expects that the patient will be taken to surgery for what procedure?

The nurse is working on an organization-wide falls prevention project.The nurse understands that the majority of falls accounting for traumatic injury occur in what population?

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.The nurse suspects these findings are indicative of which disorder?

A patient is admitted with a blunt cardiac injury (BCI)with no evidence of rupture.The nursing management plan should include which intervention?

A patient is admitted to the intensive care unit (ICU)for observation of his grade II splenic laceration.Which signs and symptoms suggest that the patient has had a delayed rupture of his splenic capsule and is now in hemorrhagic shock?

A patient with severe traumatic brain injury has been admitted to the critical care unit.What is one intervention to minimize secondary brain injury?

A patient with multisystem trauma has been in the critical care unit for 2 days.The patient is still intubated and mechanically ventilated and has a chest tube,urinary drainage catheter,nasogastric tube,and two abdominal drains.The nurse understands that immobility places the patient at risk for developing which complication?

A patient was admitted after a motor vehicle crash (MVC).The nurse knows that this type of injury is the greatest cause of what type of trauma?

During assessment of a new trauma patient,the nurse observes perianal ecchymosis.The nurse suspects the patient has what problem?

A patient has sustained an epidural hematoma after a 10-foot fall from a roof.The nurse understands that an epidural hematoma is a condition that has which characteristic?

An unresponsive trauma patient has been admitted to the emergency department.Which statement regarding opening the airway is accurate?

A nurse and a nursing student are discussing management of the trauma patient.The nurse asks the student what the AVPU method is used for during the primary survey.Which response would indicate the new graduate nurse understood the information?

Patients immobilized because of spinal trauma are at a high risk for contractures.The nursing management plan for these patients should include which preventive measures?

A patient with multisystem trauma has been in the intensive care unit (ICU)for 6 days.The patient is still intubated and mechanically ventilated and has a chest tube,urinary drainage catheter,nasogastric tube,and two abdominal drains.The patient's vital signs include blood pressure (BP),92/66 mm Hg; heart rate (HR),118 beats/min; temperature (T),38.7° C; and central venous pressure (CVP),5 mm Hg.What is the most likely cause of this hemodynamic picture?