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NUR 2755 Multidimensional Care IV/MDC 4 FINAL EXAM 3

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NUR 2755 Multidimensional Care IV/MDC 4 FINAL EXAM 3 What does triaging do? Correct Answer: *acts as gatekeeper* helps prioritize patient care based on illness and severity level According to triage, what patients would be seen firtst Correct Answer: highest acuity patients will receive qu...

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  • July 28, 2022
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  • 2021/2022
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NUR 2755 Multidimensional Care IV/MDC 4 FINAL EXAM 3

What does triaging do? Correct Answer: *acts as gatekeeper*
helps prioritize patient care based on illness and severity level

According to triage, what patients would be seen firtst Correct Answer: highest acuity patients will
receive quickest intervention

(Most ill/severe will get seen first)

What is a good model for triaging patients? Correct Answer: ABCs

Is hospital triaging the same as mass casualty triaging? Correct Answer: NO

Which triage situation uses tags? Correct Answer: mass casualties

what are the categories of triage? Correct Answer: - emergent
- urgent
- nonurgent
- primary survey

what classifies a patient as emergent according to triage Correct Answer: - life threatening injuries
- needs immediate treatment

what patient conditions warrant an emergent status of triage Correct Answer: - respiratory distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals

what classifies a patient as urgent according to triage Correct Answer: patient should be treated quickly
but there is not and immediate threat to life

what patient conditions warrant an urgent status for triage Correct Answer: - severe abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)

what classifies a patient as nonurgent according to triage Correct Answer: patient can wait several
hours without a risk to life

what patient conditions warrant a nonurgent status for triage Correct Answer: - skin rash
- strains/sprains
- colds
- simple fracture

what is a primary survey that should be performed while triaging? Correct Answer: ABCDE

, what does ABCDE stand for in triaging patients Correct Answer: A: Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure

what does the "A" refer to in ABCDE Correct Answer: airway, cervical spine

- patent airway
- immobilize spine

**do NOT move patient

what does the "B" refer to in ABCDE Correct Answer: breathing

- assess sounds
- assess chest wall movement

what does the "C" refer to in ABCDE Correct Answer: circulation

- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding

what does the "D" refer to in ABCDE Correct Answer: disability
*LOC

what does the "E" refer to in ABCDE Correct Answer: exposure

- get clothes off
- use blankets to prevent hypothermia

what is the one exception to ABCDE? Correct Answer: in excessive bleeding, you would prioritize "C"
before "AB"

what is a secondary survey? Correct Answer: comprehensive head to toe assessment

if warranted during the secondary survey, what would a nurse likely do? Correct Answer: - insert NG
tube
- insert catheter
- prep for diagnostics

what does drowning lead to? Correct Answer: leads to loss of surfactant in lungs which causes alveolar
collapse and pulmonary edema

is dehydration common in heat exhaustion? Correct Answer: YES

what can major diaphoresis cause? Correct Answer: severe dehydration and hyponatremia

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