—At the conclusion of the secondary survey, what does the J represent? Simply
continue assessing - vipp
—What is the meaning of VIPP? - ANSWER: vital signs, primary survey,
injuries/interventions, pain
Where would you discover Grey-Turner's sign throughout the head-to-toe? -
ANSWER side
What location would you find Cullen's sign during the head-to-toe? - ANSWER
umbilicus
-What is occasionally postponed until the very conclusion of the head-to-toe? -
ANSWER checking the back
-You do interventions such as antibiotics, consultations, head CT scans,
imaging, law enforcement, required reporting, psychosocial assistance, social
services, splinting, tetanus, and wound care both before and after WHAT? -
ANSWER AFTER TOTAL, PRIOR TO J (VIPP)
-What three items are collected in the course of the relevant historical
evaluation? - ANSWER Prehospital report, medical records, example
-What kinds of nonpharmacologic interventions are there? (must select at least
one during the test) ANSWER: Family presence, distraction, cushioning bone
prominences, shifting, splinting, and vocal comfort
,-To whom is capnography especially advised? ANSWER to every patient
-Aside from the heart monitor, what else might be indicated in step M of "Get
Adjuncts"? - RESULT EKG
-You need to list at least one of the following interventions in Step 16 of
"Exposure and Environment": ANSWER blankets, raising the room
temperature, heated fluids, and warming lighting.
-You need to complete these two primary activities in order to assess
circulation: ANSWER 1. Examine AND feel the colour, temperature, wetness,
and 2. Check the pulse with your fingers.
-What happens if changes are found in any of the phases in the initial survey? -
REVIEW and take appropriate action where necessary.
-If the patient is intubated, which three assessments need to be completed? -
ANSWER 1. connect the CO2 detector and look for signs of CO2 emissions; 2.
watch for changes in the chest's height with aided ventilation; 3. Check both the
lungs and the epigastrium for gurgling sounds during auscultation.
ANSWER Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing, symmetrical chest rise
and fall, tracheal deviation/JVD, open wounds/deformities, and skin colour are
the four that need to be discovered in order to evaluate the effectiveness of
breathing.
-What can be used in "Circulation and Control of Haemorrhage" step 12, for
which the LMNOP part grants credit? The ANSWER heart monitor
-When should two IV locations be set up? - ANSWER during the "Circulation"
evaluation
,-After evaluating the ETT placement and the patient is intubated, what else
needs to be done with the device? (Step 10): ANSWER determine the ETT
location by counting the teeth or gums AND lock the ETT in place.
-What should you say out loud once you've finished all the ETT assessments?
ANSWER switching the patient from mechanical to assisted ventilation
-In what section of the initial questionnaire, would you foresee the necessity for
a chest tube, intubation, pneumothorax decompression, oxygen, or BVMs? -
"Breathing and Ventilation" is the answer.
To evaluate the patency and protection of the airway, four factors need to be
recognised: ANSWER bone malformation, loose teeth, oedema, inhalation
damage, sounds, tongue obstruction, burns, fluids, foreign objects, vocalisation.
-Where would the expectation for intubation, OPA/NPA insertion, extraction of
any loose teeth or foreign objects, or suctioning be during the initial survey? -
ANSWER Step 7 of the assessment of airway protection and patency
"Alertness and Airway with Simultaneous Cervical Spinal Stabilisation"
If c-spine stabilisation is required, what specific necessity has to be mentioned?
- ASK if a second person is required to perform manual C-spine Stabilisation.
*An intubated adult patient with a severe head trauma is being manually
ventilated at a rate of eighteen breaths per minute using a bag-mask device. One
500 mL intravenous fluid bolus of warmed isotonic crystalloid solution has
been administered to the patient. The pulse oximetry is 92%, and the PaCO2 is
30 mm Hg (4.0 kPa). The blood pressure is 142/70 mm Hg. Which intervention
is the most crucial for controlling cerebral blood flow? Reduce the rate of
manual ventilation (ANSWER A).
An elderly patient arrives to the emergency room complaining of headache,
nausea, and dizziness. Ten days ago, the patient was involved in a car accident.
There was a haematoma on the forehead, but there was no loss of
, consciousness. Currently, the patient is receiving anticoagulant medication.
Which of their symptoms is most likely to be the cause?
A. haemorrhage inside the brain
B. Haemorrhage in the epidermis
C. Widespread axonal damage
D. Syndrome of post-concussion - Answer for post-concussive syndrome
A patient with a fractured lower leg reports intense discomfort and constriction
in his calf, which is only slightly eased by painkillers. Which nursing
intervention is the most important among the following?
A. Raising the leg higher than the heart
B. Moving the leg and putting ice on it
C. Raising the leg to the heart's level
D.Readying the patient for a leg ultrasound - ANSWER C. Raising the leg to
the heart's level
A patient complaining of worsening respiration is being involved in a high-
speed rollover. In the left lateral chest, there is a minor penetrating wound to the
sixth intercostal space. Which of the following findings most strongly suggests
a diaphragm injury? - ANSWER Lower left chest bowel noises heard
A diaphragm rupture is a potentially fatal injury. In addition to pain that may
spread to the left shoulder, the patient will probably have diminished breath
sounds on the affected side. These symptoms do not, however, directly point to
diaphragm damage. When bowel sounds are heard in the chest, there is a
diaphragm defect allowing the contents of the abdomen to herniate up into the
chest.