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Chapter 67 Emergency Nursing
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Chapter 67 Emergency Nursing
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Chapter 67 Emergency Nursing1.Which patient would the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
B) A patient with a sore neck that was immobilized in the field on a backboard
with a cervical collar
C) A patient with a possible fractured tibia with adequate pedal pulses
D) A patient with confusion
2.The nurse notes that the family members of a patient who was injured in an accident are
blaming each other for the event. The nurse appropriately lets the family members express
their remorse, while explaining that there was probably little they could do to prevent the
injury. The family is in which stage of crisis?
A) Anxiety and denial B) Remorse and guilt C) Anger D) Grief
3.The physician notes that an unconscious patient brought to the emergency room needs
emergency surgery. No family members are present, and the patient does not have
identification. Which of the following actions by the nurse is most important regarding
obtaining consent to examine and treat the patient?
A) Ask the social worker to come and sign the consent.
B) Contact the police to obtain the patient's identity. C) Obtain a court order
to treat the patient.
D) Document in the patient's chart the level of consciousness and health status of
patient.
, 4.The patient is experiencing respiratory insufficiency and is unable to maintain spontaneous
respirations. The nurse expects that the physician will perform or insert
which of the following airway management techniques or devices?
A) Oropharyngeal airway C) Endotracheal intubation
B) Jaw thrust maneuver D) Cricothyroidotomy
5.The most appropriate nursing diagnosis for a patient who has difficulty maintaining a patent
airway due to hemorrhage in the oral cavity would be:
A) Ineffective airway clearance C) Risk for trauma
B) Impaired swallowing D) Ineffective individual coping
6.A patient who has broken his femur presents to the emergency department with the
following signs and symptoms: cool, moist skin, increased heart rate, and falling blood
pressure. The nurse suspects the patient is experiencing:
A) Low blood glucose C) Hemorrhage
B) High blood glucose D) Fluid volume excess
7.Which of the following injuries would take highest priority if demonstrated by the patient
entering the emergency department?
A) Open fracture of the femur C) Stabbing to the chest
B) Laceration of the forearm D) Traumatic amputation of foot
8.A patient enters the emergency department with a gunshot wound to the abdomen. The
most common hollow organ injured in this way is the:
A) Liver B) Small bowel C) Stomach D) Large bowel
9.A 45-year-old woman is involved in a motor vehicle accident and sustains blunt trauma to
her abdomen. The patient must be:
A) Ambulated immediately to expel flatus C) Immobilized on a backboard
B) Placed in a Fowler's position D) Placed in a left lateral position
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