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TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK QUESTIONS AND ANSWERS, Exams of Nursing What are the S/S of orbital fracture$20.49
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TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK QUESTIONS AND ANSWERS, Exams of Nursing What are the S/S of orbital fracture
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Course
Banor Success in Practical Vocational Nurs
Institution
Banor Success In Practical Vocational Nurs
TNCC 9TH REAL EXAM ACTUAL VERIFIED
EXAM
TEST BANK TNCC 9TH REAL EXAM
ACTUAL VERIFIED EXAM TEST BANK
QUESTIONS AND ANSWERS, Exams of
Nursing
What are the S/S of orbital fracture
TEST BANK TNCC 9TH REAL EXAM
ACTUAL VERIFIED EXAM TEST BANK
QUESTIONS AND ANSWERS, Exams of
Nursing
What are the S/S of orbital fracture (orbital blowout fracture)? - ✔✔ANSWER✔✔-
- Diplopia (double vision)
- Loss of vision
- Altered extraocular eye movements
- Enophthalmos (displacement of the eye backward into the socket)
- Subconjunctival hemorrhage or ecchymosis of the eyelid
- Infraorbital pain or loss of sensation
- Orbital bony deformity
,TNCC 9TH REAL EXAM ACTUAL VERIFIED
EXAM
What is LeFort I fracture and its S/S? - ✔✔ANSWER✔✔-Transverse maxillary fx
that occurs above level of teeth and results in separation of teeth from rest of
maxilla.
S/S:
- Slight swelling of maxillary area
- Possible lip lac's or fractured teeth
- Independent movement of the maxilla from rest of face
- Malocclusion
What is LeFort II fracture and its S/S? - ✔✔ANSWER✔✔-Pyramidal maxillary
fx=middle facial area. Apex of fx transverses bridge of nose. Two lateral fx's of
pyramid extend through the lacrimal bone of the face and ethmoid bone of skull
into the median portion of both orbits. Base of the fx extends above level of the
upper teeth into maxilla. CSF leak is possible.
S/S:
- Massive facial edema
- Nasal swelling w/obvious fx of nasal bones
- Malocclusion
- CSF rhinorrhea
What is LeFort III fracture and its S/S? - ✔✔ANSWER✔✔-Complete craniofacial
separation involving maxilla, zygoma and bones of cranial base. This fx is
frequently associated w/leakage of CSF and fx mandible.
S/S:
,TNCC 9TH REAL EXAM ACTUAL VERIFIED
EXAM
- Massive facial edema
- Mobility and depression of zygomatic bones
- Ecchymosis
- Anesthesia of the cheek
- Diplopia
- Open bite or malocclusion
- CSF rhinorrhea
What are the mandibular fracture S/S? - ✔✔ANSWER✔✔-- Malocclusion
- Inability to open the mouth (trismus)
- Pain, especially on movement
- Facial asymmetry and a palpable step-off deformity
- Edema or hematoma formation at the fracture site
- Blood behind, ruptured, tympanic membrane
- Anesthesia of the lower lip
What are neck injury S/S? - ✔✔ANSWER✔✔-- Dyspnea
- Hemoptysis (coughing up blood)
- Subcutaneous emphysema in neck, face, or suprasternal area
- Decreased or absent breath sounds
- Penetrating wounds or impaled objects
- Pulsatile or expanding hematoma
, TNCC 9TH REAL EXAM ACTUAL VERIFIED
EXAM
- Loss of normal anatomic prominence of the laryngeal region
- Bruits
- Active external bleeding
- Neurologic deficit, such as aphasia or hemiplegia
- Cranial nerve deficits
- Facial sensory or motor nerve deficits
- Dysphonia (hoarseness)
- Dysphagia (difficulty swallowing)
What are the nursing interventions for a patient with a maxillofacial or neck
injury? - ✔✔ANSWER✔✔-- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's
are suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
- Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
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