CPEG208 TNCC Final Exam Test 2023 Open Book Graded A+

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c to measure oxygenation and ventilation to quantify the base deficit for the adequacy of cellular perfusion to gauge end-organ perfusion and tissue hypoxia * to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of shock? Answer: A compensated ** Progressive irreversible decompensated An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms? Answer: D epidural hematoma diffuse axonal injury post-concussive syndrome subdural hematoma *** EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? Answer: D Alert with no neurologic deficits Multiple abrasions to the extremities Multiple requests of water Smell of alcohol on breath *** A patient with lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention? Answer: C elevating the extremity above the level of the heart repositioning and apply ice Elevating the extremity to the level of the heart *** Preparing the patient for ultrasound Which of the following occurs during the third impact of a motor vehicle crash?