Emergency Nursing Orientation 3.0: Abdominal and
Genitourinary Trauma - ENA-ENO-C22
For a hemodynamically stable patient who complains of abdominal and left
shoulder pain after falling off a bicycle, which intervention is indicated? - -
Perform serial abdominal assessments.
-Injuries affecting which organ may be managed nonoperatively? - -Liver
-In a hypotensive patient with abdominal trauma, what is the best option for
pain control? - -Fentanyl (Sublimaze)
-Which diagnostic test is used to detect a foreign body? - -Plain abdominal
radiography
-A belted driver is least likely to sustain an abdominal injury in which type of
impact in a motor vehicle collision? - -Rear
-For a patient with an evisceration, which intervention is indicated? - -Cover
the area with sterile, saline-soaked pads.
-Which type of injury requires immediate surgery? - -Gastric
-Which statement indicates that a patient who sustained a superficial stab
wound understands his discharge instructions? - -"I will return if I start
vomiting."
-Which factor is a disadvantage of a focused assessment sonography in
trauma? - -The test can rarely identify a hollow viscus injury.
-A patient may develop bruising over the flank with which type of injury? - -
Renal
-Injuries to which structure are diagnosed based on patient assessment and
the presence of free air on abdominal radiography? - -Stomach
-What is the most common mechanism of injury that causes abdominal
trauma? - -Motor vehicle collision
-Which type of injury is most likely to initially cause a fever and an elevated
white blood cell count? - -Intestinal
-Which diagnostic test can best detect a retroperitoneal injury? - -Computed
tomography scan of the abdomen
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