assessments findings for airway and cervical spine
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Amsterdam University College (AUC)
NURSING
MDC4
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MDC4 Final Exam Questions and Correct
Answers 100%
The "E" in the primary survey stands for Exhale.
TRUE/FALSE - CORRECT ANSWER-FALSE
"E" stands for exposure
Assessments findings for airway and cervical spine.... - CORRECT ANSWER--airway
open
-jaw thrust monuver
-head tilt
When used jaw thrust monuver instead of tilting the head.... - CORRECT ANSWER-
neck injury--any kind of cervical neck injury
Client has asymmetrical chest movement and complaining SOB. You suppect a
pneumothroax, what is the intervention.... - CORRECT ANSWER-chest tube
Treatment for frostbite include all except:
A. Warm bath
B. IV hydration
C. administer tetanus vaccine
D. warm with friction - CORRECT ANSWER-D. warm with friction--that can cause more
damage to the tissue
Frostbite - CORRECT ANSWER--can occur when the skin is not properly protected
from extremes in cold temp.
-frostbite has degrees, much like burns, with fourth-degree being the deepest
-at stage four, gangrene may develop, and amputation may be necessary
Frostbite Tx - CORRECT ANSWER--warm bath
,-IV hydration
-administer tetanus vaccine
-warm gauze or dressings loosly
-stop the exposure to cold
-if the client has frostnip don't rub the skin to rewarm
-for frostbite the client is submerged in a warm tub for rewarming
-the rewarming process in painful
-administer analgesics
-watch for the development of compartment syndrome from the swelling
-severe frostbite is managed much like a thermal burn
Clinical manifestations of Heat Stroke include:
A. hot skin, oliguria, ALOC
B. paradoxical chest movement
C. red skin with blisters
D. shivering - CORRECT ANSWER-A. hot skin, oliguria, ALOC
-temp. goes up to 104 degrees
If a patient has heat stroke and ALOC do you want to feed them? - CORRECT
ANSWER-NO! aspiration risk
If heat exhaustion is not treated, it can progress to.... - CORRECT ANSWER-progress
to heat stroke
Heat stroke - CORRECT ANSWER-is a true medical emergency associated with a high
mortality rate
Heat Stroke interventions - CORRECT ANSWER--is an medical emergency
-start with fluids
-watch dysthrimas, tachycardia
-put ice/cold packs on groin, abdomen, under arms, neck
-cool fluids
-don't feed the patient
-bring to shady area
-put water on body
-call 911
-if they shiver give BENZOS
-IV sline in hospital
-electrolyte labs
-expect high H/H r/t hemoconcentration
-O2
-REMEMBER! they are at risk for hypovolemic shock
Heat stroke causes & Sx - CORRECT ANSWER--body temp. rises to about 104F
-Exertional heat stroke
, --a person wearing too many clothes while doing strenuous physical activity
-classic heat stroke
--exposure to heat & humidity
-skin may be dry or perspiring
-mental status change due to heat injury to the brain
-HpoTN, tachycardia, & tachypnea
-seizures---coma
Red skin with blisters.... - CORRECT ANSWER--describing burns 2nd degree
-describing frostbite 2nd degree
Antidote for benzodiazepines - CORRECT ANSWER-Flumazenil
Do we want shivering with a client who has a heat stroke.... - CORRECT ANSWER--
NO, because it creates heat
-give BENZOS to decrease temp.
Assessing clients to determine severity of illness/injury before administering care is:
A. disaster response
B. external disaster
C. black tagging
D. triage - CORRECT ANSWER-D. triage
Clients that would need to be seen first as an emergent (life-threatening) in triage.... -
CORRECT ANSWER--chest pain
-bleeding out
-ABCs
-SOB
-strokes
-ALOC
-allergic rxn
-respiratory distress
-unstable VS
Clients that would need to be seen urgent in triage.... - CORRECT ANSWER--
uncomplicated/displaces fractures
-cough with a temp.
-burns low degree
-severe abdominal pain (bleed, pandicites)
-renal colic (clients who are passing kidney stones)
-food poisioning
-pneumonia in older adults
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