Which of the following best sums up the fundamentals of ventilation related to
using a bag-mask device on an adult?
A. Inflate the bag-mask apparatus by inhaling once every six seconds.
B. Provides pure oxygen.
C. Completely squeeze the bag-mask device before taking a breath.
D. Retain an oxygen saturation range of 92% to 94%. - ANSWER A: Inflate the
bag-mask apparatus by inhaling once every six seconds.
Justification
A: Use ventilation assistance if breathing is not working for an adult. Compress
the bag-mask device and breathe once every six seconds. B: Oxygen delivery is
beneficial for increasing oxygenation, not for ventilation. C: Every six seconds,
squeeze the bag just enough to cause a noticeable rise in chest height. D:
Oxygen delivery, not ventilation, is beneficial for increasing oxygenation.
Furthermore, in the majority of patients, effective, adequate oxygenation is
linked to an oxygen saturation level of 94% or above.
Which of the following interventions can be used as part of a frostbite
treatment?
A. Allow the impacted area to warm for 30 to 60 minutes.
B. Apply little friction to enhance blood flow
C. Give tissue plasminogen activator to the patient
,C. Apply tissue plasminogen activator D. Keep every blister whole ANSWER
C.
Justification
A: Frostbite is treated with gentle warming over a period of 15 to 30 minutes. B:
To avoid causing tissue damage, friction—even mild friction—is avoided. C:
There's a chance of thrombus formation after frostbite. When given within 24
hours of rewarming, the thrombolytic drug tissue plasminogen activator has
been shown to preserve perfusion and reduce the need for amputation. D: Big
blisters that potentially impede mobility, whether they are hemorrhagic or clear,
should be drained. Blisters that are smaller should stay intact.
Which is the most common avoidable cause of death for trauma patients in out-
of-hospital settings?
A. Compromise of airways
B. Insufficient airflow
C. Subsequent head trauma
D. Uncontrollably bleeding outside the body - ANSWER D. Uncontrollably
bleeding outside the body
Justification
A: Not airway compromise, but uncontrolled external bleeding is the primary
preventable cause of death following injury in the prehospital setting. B: In the
prehospital setting, uncontrolled external bleeding—rather than inadequate
ventilation—is the primary factor contributing to avoidable deaths following
injuries. C: Not secondary head injuries, but uncontrollably occurring external
bleeding is the primary avoidable cause of death following injury in the
prehospital setting. D: In the prehospital setting, uncontrolled external
hemorrhage is the primary cause of avoidable death following injury;
identifying uncontrolled external hemorrhage is crucial to the initial assessment
procedure, which starts with the general impression.
The emergency room is providing care for a patient who has a spinal cord injury
at C5 while they wait to be sent to a trauma center. For this patient, which of the
following is the most important thing to continue assessing and managing?
, A. Preserve a healthy respiratory state.
B. Give a balanced resuscitation fluid injection.
C. Conduct repeated evaluations of neurologic performance.
D. Preserve your core temperature. ANSWER A: Preserve a healthy respiratory
state.
Justification: Phrenic nerve function loss from spinal cord lesions from C3 to
C5 can leave the diaphragm paralyzed and unable to breathe. Keeping the
respiratory system functioning properly comes first.
The nurse is getting the patient's medical history when they come in after being
sexually assaulted. Which of the following methods is used to finish this
history?
A. Enter the interview room with the family present.
B. To capture information, use direct quotations.
C. Gather details exclusive to the assault.
D. Offer food and beverages to foster conversation. - ANSWER B: When
documenting information, use direct quotes.
Justification: A: For the initial law enforcement interviews and, if agreeable, the
primary patient consultation, choose a secure, private area. Provide a waiting
space for loved ones and, if it's feasible, child care. B: Direct quotes are used to
provide an objective and in-depth account of the incident in history. C: It's
crucial to record any post-incident actions taken by the victim, including
washing or showering, tending to wounds, drinking, urinating and defecating,
and/or changing clothes. D: While food and drink may be significant, they
should be postponed until after the history is taken if oral testimony is required.
Which of the following is thought to be a trauma team's cornerstone for good
performance?
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