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NUR 347 ( LATEST 2024 / 2025 ) FINAL EXAM 1 | WITH 100% VERIFIED ANSWERS
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NUR 347 ( LATEST 2024 / 2025 ) FINAL EXAM 1 | WITH 100% VERIFIED ANSWERS
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NUR 347 Final Exam 11. what are some things that are included in the primary assessment of
a patient in a motor vehicle accident?
Answer
ABCDE (airway, breathing, circulation, disability, exposure)
2. what do we add in our ABC's if its a trauma patient?
Answer
D & E (disability and exposure)
3. what should we assess for in a severe leg trauma patient?
Answer
assess for circulation
4. in a severe leg trauma patient, what do we do if the pedal pulse is palpable and there is
swelling?
Answer
assess further for signs of decreased circulation
5. what are the 5 P's ?
Answer
pallor pulse
,paralysis paresthesia pain
6. what always applies in ER patients?
Answer
ABC's (add D & E if trauma)
7. paradoxical chest movement or flail chest movement are signs of what?
Answer
-
sign of a respiratory issue
8. abdomen and chest move in opposite manner - outward during exhalation and inward during
inspiration
Answer
paradoxical chest movement
9. fracture of two or more adjacent ribs in two or more places with loss of chest wall stability
Answer
flail chest
10. clinical manifestations
Answer
, -paradoxical movement of chest wall
-respiratory distress
-may be associated with hemothorax, pneumothorax, pulmonary contusion
Answer
-
flail chest
11. what are some nursing interventions for a patient with flail chest move- ment?
Answer
- O2 as needed to maintain O2 saturation
-stabilize flail segment with positive pressure ventilation (intubation and mechanical ventilation)
-treat associated injuries
-surgical fixation
12. what will you see in a collapsed lung?
Answer
you will see paradoxical chest move- ment
13. what may a patient need for a hemothorax or pneumothorax?
Answer
the patient with need a chest tube
14. blood in the pleural space
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