Laparotomy - Study guides, Class notes & Summaries

ABSITE Trauma Appraisal Exam Assessment Questions and Correct answers with Rationales Latest Updates 2024/2025 A 23-year-old male sustains a gunshot wound to the mid upper abdomen. At exploratory laparotomy, he is found to have a 50% of the circumferential injury at the junction of the 2nd and 3rd portion of the duodenum. What is the best approach to management of this injury pattern? A. Pyloric exclusion B. Whipple procedure C. Omental patch D. Primary repair of the injury E. Resection ...

2022 HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers] HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers] After placing a 36- week- gestation newborn in an isolette and drying the infant with several blankets, what should the nurse implement next? - ANS Remove the wet blankets and linen from the isolette A client in the third trimester of pregnancy complains of frequent nasal stiffness and occasional nosebleeds. Her chest circumference has increased by 5 ...

ATLS PRETEST EXAM 2023/2024- Complete-Answered-100% verified A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood ...

The number one patient safety issue identified in a survey of peri-operative nurses is preventing: - Answer- Wrong site/procedure/patient surgery Reprocessing (flashing) instruments in the OR is high risk because: - Answer- OR personnel not properly trained to reprocess instruments To safely transfer and position patients in a manner that prevents shearing, personnel should use a mechanical lifting device for a supine-to-supine transfer of a patient weighing more than: - Answer- 157 lbs ...

ATLS Study Guide/ 170+ Qs and Ans/ Newly Updated. Terms like: The primary indication for transferring A patient to a higher-level trauma center is: A. Unavailability …. B. Multiple system injuries, …. C. Resource limitations as determined by the transferring doctor D. Resource limitations as …… E. Widened mediastinum on chest - Answer: C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES) A young man sustains a rifle wound to the mid-abdomen. He is br...

1)22y/o man with blunt thoracic trauma remains tachypneic & hypotensive despite aggressive fluid resuscitation. Most likely diagnosis? - Flail chest with multiple rib fractures & lung contusion 2)23y/o man with GSW to RUQ is in hemorrhagic shock with distended abdomen. What is the next step in management? - Emergent exploratory laparotomy, without waiting for FAST or CT scan 3)27y/o basketball player jumps to block a shot with his right hand. As his hand contacts the ball, he feels severe p...

What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position Axillary Roll You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? Do not take the patient to the operating room and consult the surgeon immediately What equipment is most important for a patient undergoing an emergency trauma s...

ATLS10 exam questions with answers (answers outlined!!) 1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treat...

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next st...

Mary O’Reilly is a 55-year-old female Part II: Perforated Bowel/Sepsis/ICU CASE STUDY GRADED A+ Mary O’Reilly is a 55-year-old female with a prior history of partial colectomy w/colostomy who was admitted to the medical/surgical unit for small bowel obstruction. Yesterday she developed severe RLQ abdominal pain and CT revealed a perforated small bowel with free intraperitoneal air. Before she was brought to the operating room (OR) for an exploratory laparotomy, her lactate was 4.9, WBC 18.9...