JB Learning Thoroughly Analyzed and Adequately Answered Questions
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Course
Nursing
Institution
Nursing
40-year-old construction worker fell approximately 10 feet and sustained an open fracture of the
left femur. Further examination reveals that the distal femur is protruding through the skin. What
is the MOST appropriate care for this injury? - CORRECT ANSWER -Cover the wound
with a sterile d...
40-year-old construction worker fell approximately 10 feet and sustained an open fracture of the
left femur. Further examination reveals that the distal femur is protruding through the skin. What
is the MOST appropriate care for this injury? - CORRECT ANSWER ✔✔ -Cover the wound
with a sterile dressing and immobilize the leg.
A 17-year-old female was ejected from her car during a motor vehicle crash. You find her in a
supine position lying motionless. She is conscious, but confused, and her skin is warm and dry.
Her blood pressure is 76/50 mm Hg, her pulse rate is 54 beats/min, and her respiratory rate is 26
breaths/min. You should treat this patient for: - CORRECT ANSWER ✔✔ -neurogenic shock.
A 170-lb adult lost a large amount of blood from an external wound. He is conscious and alert,
but restless, and has cool, clammy skin. His blood pressure is 112/70 mm Hg and his pulse is 110
beats/min and strong. Which of the following statements regarding IV therapy in this patient is
MOST correct? - CORRECT ANSWER ✔✔ -Establish at least one large-bore IV and give
enough crystalloid solution to maintain perfusion.
A 19-year-old female with blunt head trauma presents with a respiratory rate of 8 breaths/min
and irregular, a blood pressure of 160/96 mm Hg, and a Glasgow Coma scale score of 8. What is
her revised trauma score? - CORRECT ANSWER ✔✔ -8
A 19-year-old male fell during a basketball game and landed directly on his right elbow when his
arm was flexed. He is in moderate pain. Your assessment reveals obvious deformity to the
,elbow. You are unable to feel a radial pulse, and his forearm is cool and pale. You should: -
CORRECT ANSWER ✔✔ -splint the injury in the position found and transport without delay.
A 19-year-old male was ejected from his vehicle when it struck a tree head-on. The patient is
found lying in a prone position on the road. After log-rolling him to a supine position, your
partner, who is manually stabilizing the patient's head, opens his airway with the jaw-thrust
maneuver. The patient is unresponsive; has copious amounts of blood and large debris in his
mouth; and has slow, irregular respirations. You should: - CORRECT ANSWER ✔✔ -remove
the large visible debris from his mouth with a finger sweep.
A 21-year-old man sustained a large laceration to the left groin area while using a chainsaw. The
patient is attempting to control the severe bleeding himself, without success, and tells you that he
cannot feel his left leg. You should - CORRECT ANSWER ✔✔ -place a trauma dressing over
the wound and apply firm direct pressure.
A 22 YOM experienced blunt abdominal trauma. He is conscious and alert but appears anxious.
His BP is 100/62, P 118, RR 22. Further assessment reveals that his radial pulse are easily
palpable, What is the MOST appropriate IV fluid regimen for the patient? - CORRECT
ANSWER ✔✔ -25 mL/hr (KVO) due to vitals are stable
A 22-year-old male was involved in a fight and sustained a large laceration to his abdomen when
he was cut. Law enforcement personnel have secured the scene. The patient is conscious, has
slurred speech, and is in severe pain. You note the possible smell of alcohol on his breath. Your
assessment reveals a loop of bowel protruding through the laceration to his abdomen; bleeding is
minimal. His blood pressure is 84/60 mm Hg, pulse is 120 beats/min, and respirations are 24
breaths/min. In addition to administering high-flow oxygen, you should: - CORRECT ANSWER
, ✔✔ -cover the exposed bowel with a moist, sterile dressing; establish vascular access with a
large-bore IV catheter; assess his blood glucose level; and prepare for rapid transport.
A 30-year-old man has a closed head injury and is unresponsive. His left pupil is dilated and he
has extensor posturing. His BP is 180/100 mm Hg, his pulse rate is 50 beats/min, and his
respirations are 8 breaths/min and irregular. Treatment for him should include - CORRECT
ANSWER ✔✔ -intubation with ventilations aimed at maintaining an ETCO2 of 30 to 35 mm
Hg.
A 30-year-old man has a closed head injury and is unresponsive. His left pupil is dilated and he
has extensor posturing. His BP is 180/100 mm Hg, his pulse rate is 50 beats/min, and his
respirations are 8 breaths/min and irregular. Treatment for him should include: - CORRECT
ANSWER ✔✔ -intubation with ventilations aimed at maintaining an ETCO2 of 30 to 35 mm
Hg.
A 30-year-old man has an obvious head injury. You are unable to locate any other injuries during
your rapid assessment. He has a blood pressure of 88/62 mm Hg, a weak pulse rate of 118
beats/min, and respirations of 28 breaths/min. Which of the following represents the MOST
appropriate treatment for this patient? - CORRECT ANSWER ✔✔ -High-flow oxygen and IV
fluids to maintain adequate perfusion
A 30-year-old man has an obvious head injury. You are unable to locate any other injuries during
your rapid assessment. He has a blood pressure of 88/62 mm Hg, a weak pulse rate of 118
beats/min, and respirations of 28 breaths/min. Which of the following represents the MOST
appropriate treatment for this patient? - CORRECT ANSWER ✔✔ -High-flow oxygen and IV
fluids to maintain adequate perfusion
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