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NUR 221 Unit 3: Emergencies Exam Questions With Verified Answers 2024/2025

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NUR 221 Unit 3: Emergencies Exam Questions With Verified Answers 2024/2025 A specialty practice requiring ability to rapidly assess and treat patients with an acute illness, injury, or crisis Emergency nursing Two types of triage: 1. Sorted from level 1 (needs life-saving intervention) to 5...

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  • May 8, 2024
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  • 2023/2024
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NUR 221 Unit 3: Emergencies Exam Questions
With Verified Answers 2024/2025
A specialty practice requiring ability to rapidly assess and treat patients with an acute illness, injury, or
crisis
Emergency nursing


Two types of triage:
1. Sorted from level 1 (needs life-saving intervention) to 5 (no resources needed)
2. Consists of airway, breathing, circulation, disability, and exposure
1. Emergency Severity Index (ESI)
2. ABCDEs


Emergency Severity Index levels:
1. Pt is having minor short of breath and chest pain
2. Needs multiple resources, but vitals are not in danger zone
3. No resources required
4. One resource needed, i.e. requiring an x-ray
1. Level 2
2. Level 3
3. Level 5
4. Level 4


Identification of life-threatening conditions for immediate treatment
Includes ABCDE and GCS
Primary Survey


Head-to-toe exam, labs and imaging, foley, NG tube, and Focused Assessment with Sonography for
Trauma (FAST; can identify signs such as fluid in pelvis or pericardial fluid)
Secondary survey


Many have investigative needs, such as MVC w/ fatality, GSW, impaired driver, domestic violence, etc.
In this case, evidence collection is required: Bag hands w/ brown paper bags, cut clothing around
evidence, and sexual assault evidence collection
Trauma


Psychological support-
1. All patients are screened in regards to their ___ health
2. Suicidal or homicidal patients are considered an ESI Level of...
1. Mental health
2. Level 2


Trauma-
1. Energy transference does not penetrate skin
2. Trauma from an object penetrating tissues
3. Organs or tissues compressed between two surfaces such as bones or a steering wheel
4. Occurs when skin or tissue slides in opposite but parallel directions
1. Blunt
2. Penetrating
3. Compression injury

, 4. Shearing


Cavitation injuries
1. Cavity stretched out due to the pressure wave created in the tissue
2. Caused by the track of the bullet
1. Temporary injury
2. Permanent injury


Leading cause of preventable death in the event of an injury
Hemorrhage


Triad of death:
1. Caused by a halted coagulation cascade due to low temperature
2. Caused by decreased myocardial performance due to low pH
3. Caused by lactic acids following impairment of coagulation
1. Coagulopathy
2. Hypothermia
3. Metabolic acidosis


Poisoning
1. Early signs: tachypnea, ringing in ears, nausea, vomiting
2. Treatment: Acetylcysteine PO or IV; may need liver transplant
3. Treatment: Flumazenil if benefits outweigh seizures, in conjunction with potential intubation
4. S/s: Red skin, dry, hot, visual impairment, confused
5. Late signs: Altered mental status, rhabdomyolysis, pulmonary edema
1. Salicylates / aspirin
2. Acetaminophen
3. Benzodiazepines
4. Antidepressants (most often TCA)
5. Salicylates / aspirin


Poisoning
1. Mild shivering, diarrhea, muscle rigidity, fever, seizures
2. Treatment: IV fluids and glucagon; supportive care, temporary pacemaker
3. Treatment: IVF, activated charcoal, dialysis, bicarb
4. Treatment: IVF, monitoring, intubation, thiamine
5. Treatment: Narcan
1. Antidepressants (more likely SSRI in this case)
2. Beta blockers
3. Salicylates / aspirin
4. Alcohol
5. Opiates


Hypothermia degrees-
1. 90
2. 88
3. 82
4. 84
5. 95.2
6. 79
Mild: 89.6 - 95

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