Exam (elaborations)
NSG 478 NURSING MANAGEMENT OF PERSONS ACUTE TRAUMA FINAL EXAM 2024
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NSG 478 NURSING MANAGEMENT OF PERSONS ACUTE TRAUMA FINAL EXAM 2024
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NSG 478 FINAL EXAM: Nursing Management of Persons Acute TraumaStudy online at https://quizlet.com/_d1dopy
1.Trauma #1 cause of death for ages 1-44
2.Trauma An unintentional or intentional wound or injury in-
flicted on the body from an extrinsic factor, for which the body cannot protect itself.
3.1) tachycardia
2) tachypnea
3) low BP/narrow pulse pressurevital signs that indicate hypovolemic shock (3)
4.B The nurse in the emergency room has received report from EMS of an incoming patient who was the victim of a high-speed, roll-over motor vehicle accident and sustained multiple injuries. Which of the following should the nurse assess first?
A) Pedal pulses
B) Chest rise and fall
C) Blood pressure
D) Head and neck pain
5.1. Establish airway and ventilation
2. Control hemorrhage
3. Prevent and treat hy-
povolemic shock
4. Assess for head and neck injuries
5. Evaluate for other in-
juries
6. Splint fractures
7. Perform a more thor-
ough and ongoing ex-
amination and assess-
ment**Correctly list priority of assessments:**
- Evaluate for other injuries
- Control hemorrhage
- Splint fractures
- Assess for head and neck injuries
- Establish airway and ventilation
- Perform a more thorough and ongoing examina-
tion and assessment
- Prevent and treat hypovolemic shock
KNOW THIS FOR EXAM!!
6.Spinal; history; mech-
anism of injury (MOI); Nursing care and management for trauma:
•_________ immobilization until cleared
•Accurate and thorough __________, as able (al- NSG 478 FINAL EXAM: Nursing Management of Persons Acute Trauma
Study online at https://quizlet.com/_d1dopy
wounds; oral fluids; Tetanus and antibioticcohol or substance use?)
•Determine ________ _________ _______
•Locate and document ALL ________ (no matter the size/severity)
•Withhold ______ _______
•__________ and __________ prophylaxis as or-
dered
•Continuous monitoring and assessment
7.they may be going to surgery, do not want them to aspirateWhy do we withhold fluids in trauma patients?
8.Mechanism of Injury The forces and energy that causes trauma
9.ejection; Death; Rollover; 40; Pedestri-
an; 20; rider separation; Penetrating; bluntSignificant Mechanisms of Injury (may have more internal injuries):
•__________ from vehicle
•__________ of someone in the same vehicle
•__________ motor vehicle accident
•High speed collisions > _____ mph
•__________ struck
•Falls from > _____ feet
•Motorcycle accident with ________ _______
•__________ trauma to head, neck, torso, or prox-
imal extremity
•Significant __________ trauma to head, neck, torso
10.type of seatbelt worn; Motor vehicle accidents: Seat belts and airbags:
- When relying on air bags, not in combination with seat belts, will only slightly reduce risk of fatality
- wearing a seat belt + airbags significantly re-
duces fatality
- Assessment of injury pattern will coincide with the...
11.look at the seat belt marks on their torso how can we tell if a trauma patient in a MVA is the driver or a passenger? NSG 478 FINAL EXAM: Nursing Management of Persons Acute Trauma
Study online at https://quizlet.com/_d1dopy
(which direction is the seat belt going?)
12.1) Fractured ribs
2) Flail chest
3) Contusions
4) Intra-abdominal in-
juriesWhat are the common over-the-dash, upper torso injuries that occur due to Motor Vehicle Accidents when the chest moves forward and hits the steer-
ing wheel and dashboard? (4)
13.1) Skull fractures
2) Brain injury
3) Neck injury
4) LacerationsWhat are the common over-the-dash, upper torso injuries that occur due to Motor Vehicle Accidents when the head hits the windshield? (4)
14.1) Hip dislocation or fracture
2) Femur fracture
3) Knee dislocation
4) Tibia/fibula fracture
5) Ankle injury (disloca-
tion, fracture)What are the common under-the-dash, lower torso injuries that occur due to Motor Vehicle Accidents when the body slides under the steering wheel and dashboard? (5)
15.1) Neck injuries
2) Chest wall injuriesCommon injuries that occur in rear end motor ve-
hicle collisions (accelerated forward motion) (2)
16.1) Head and neck in-
juries
2) Chest injuries
3) Pelvic injuriesCommon injuries that occur in side impact motor vehicle collisions (lateral movement of the vehicle) (3)
17.injuries; severity; Ejec-
tionRoll over motor vehicle accidents (significant MOI):
- Number of _________ as well as ________ of injuries is increased
- Multiple impact points
- __________ from vehicle?
18.Blunt; penetrating Chest Trauma:
- ________ trauma occurs more frequently than ___________ chest trauma
- both can be just as severe
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