Relias ED RN A Final Exam Questions and 100 % Correct Answers
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Course
Relias ED RN A
Institution
Relias ED RN A
Patients in emergency nursing Life-threatening
Potentially life-threatening
Urgent problems enter hospital through emergency department (ED)
Annual visits to ED
- how many visit ED annually
- # increasing why (6) Over 136 million people visit EDs annually.
This number is increasing bc
(1)...
Relias ED RN A Final Exam Questions and 100 % Correct Answers Patients in emergency nursing ✅Life-threatening Potentially life -threatening Urgent problems enter hospital through emergency department (ED) Annual visits to ED - how many visit ED annually - # increasing why (6) ✅Over 136 million people visit EDs annually. This number is increasing bc (1) the inability to see a primary care provider (2) an aging population (3) shorter hospital stays resulting in frequent readmissions (4) acute mental health crises (5) ED closures (6) lack of or inadequate health insurance or a primary care provider Triage - means - process of - represents - does what to patients ✅"To sort" Process of rapidly determining patient acuity Represents a critical assessment skill Categorizes patients so most critical are treated first After initial focused assessment to determine actual or potential threats to life... - what kind of approach - what is used for all trauma patients - what is used for nontrauma patients ✅...proceed with more detailed assessment systematic approach to this assessment decreases the time needed to identify potential threats to life and limits the risk of overlooking a life -threatening condition. A primary and secondary survey is the approach used for all trauma patients. For nontrauma patients, the primary survey is followed by a focused assessment Primary Survey: ABCDEFGH ✅Alertness and airway Breathing Circulation (becomes #1 if there is uncontrolled hemorrage) Disability Exposure and environmental control Facilitate adjuncts and family Get resuscitation adjuncts History and head -to-toe assessment If uncontrolled external hemorrhage is noted ✅usual ABC assessment format may be reprioritized to <C>ABC for hemorrhage control. The <C> stands for catastrophic hemorrhage and, if present, needs to be controlled first. Apply direct pressure with a sterile dressing followed by a pressure dressing to any obvious bleeding sites. Primary survey - aim - If life -threatening conditions related to ABCs are identified during primary survey ✅primary survey aims to identify life -threatening conditions so that appropriate interventions can be started. interventions are started immediately and before proceeding to the next step of survey Primary Survey: Alertness and airway (1) - what is alertness level important for - AVPU ✅alertness level of the patient can be an important factor for selecting appropriate airway interventions. Determine LOC by assessing the patient's response to verbal and/or painful stimuli. AVPU A=alert V=responsive to voice P=responsive to pain U=unresponsive Airway obstruction - cause of what - what can obstruct the airway (8) ✅Cause of nearly all immediate trauma deaths Saliva, bloody secretions, vomitus, laryngeal trauma, dentures, facial trauma, fractures, and the tongue can obstruct the airway Patients at risk for airway compromise (5) ✅Seizures
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