NUR 216 Exam II Prep Questions And Actual Answers.
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Course
NUR 216
Institution
NUR 216
What are risk factors for traumatic injury? - Answer 1. Age
2. Gender
3. Alcohol
What age group and gender are at the highest risk? - Answer 1-42 years old (number one cause of death is injury) and men are at higher risk than females
Patients are more likely to _______ if they get to a ...
NUR 216 Exam II Prep Questions And
Actual Answers.
What are risk factors for traumatic injury? - Answer 1. Age
2. Gender
3. Alcohol
What age group and gender are at the highest risk? - Answer 1-42 years old (number one cause of
death is injury) and men are at higher risk than females
Patients are more likely to _______ if they get to a ________ quickly - Answer Survive; high level
trauma
What is the scope of practice for EMTs vs. paramedics? - Answer EMTs can do BLS while Paramedics can
do ACLS
Which trauma patients do well? - Answer - The trauma patients that do the best are the ones that get
to a high level trauma center the most quickly
- Cops and paramedics whose friends get them in right away!
- 25% more likely to survive if they get to a higher level of care
What is the concept of Dr. Hurtado's "load and go?" - Answer Stabilize the patient in the field as quickly
as possible and GO to the hospital with the level of care that they need RIGHT NOW
What does field treatment include? - Answer 1. Oxygen: 2 L until they prove they don't need it
2. Low volume fluid resuscitation
3. Control bleeding: direct pressure or tourniquet
4. Pain meds: Don't under medicate
5. Environmental control
6. Manage the medical problem: look into whatever caused the problems
,What is the purpose for low volume fluid resuscitation? - Answer If you give too much fluid, you can
dilute the clotting factors and the patient will have problems with bleeding. If the patient has a pulse you
can feel and they are talking and making sense, you can assume that their blood pressure is good
enough
What is the lethal trauma triad? - Answer Acidosis, hypothermia, and clotting problems
How can you manage the lethal trauma triad? - Answer 1. Warm them up
2. Help them breathe
3. Don't fluid overload them and dilute the clotting factors
What is the patient weight limit for FFL? - Answer 350 lbs of evenly distributed weight
What is the number one cause of injury for the elderly? - Answer Ground level falls
What is the number one cause of death for the elderly? - Answer MVA
What class of medication must we look out for during geriatric traumas? - Answer Anticoagulants - 85%
patients have a bad outcome if they're on coumadin
Traumatic brain injury for elderly has ____ times the mortality rate than it does for younger people. -
Answer Five times
If an elderly person has a GCS of 8 or less, they have ______% mortality rate - Answer 80%
What are the three priority levels according to illness or injury severity? - Answer - Emergent
• Life threatening
• Respiratory distress, chest pain, hemorrhage
• Danger to self/others - suicidal
, - Urgent
• Abdominal pain, fractures, soft tissue injuries
- Non-urgent
• Skin rash, strains/sprains, "colds"
What is important to do when a patient tells you the mechanism of injury? - Answer Make sure their
injury and story match
What population lies the most about their mechanism of injury? - Answer The elderly - they do not
want to lose their independence
What is the cause of death < 1 hour after trauma according to the trimodal distribution of trauma? -
Answer Lacerations: brain, brainstem, aorta, cord, heart
What is the cause of death 3 hours after trauma according to the trimodal distribution of trauma? -
Answer Epidural, subdural, hemopneumothorax, pelvic fractures, long bone fractures, abdominal
injuries
What is the cause of death just before 4 weeks after trauma according to the trimodal distribution of
trauma? - Answer Sepsis, MODS
What does the primary survey entail? - Answer A- airway/ c-spine
B- breathing
C- circulation
D- disability
E- exposure
What are the end points of trauma resuscitation? (How do you know your interventions worked? -
Answer - SBP > 90, MAP > 70
- HR < 100
- UOP > 30 mL/hr
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