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ED, trauma, Envio Flashcards | StudBud
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ED, trauma, Envio
ED, trauma, Envio
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1
After a snake bite you call for immediate emergency assistance teaching should include to capture & kill the snake to ID
True
False
2
Which results from impact forces ex. motor vehicle crash; a fall; or an assault with fists, kicks, or a baseball bat.
Penetrating trauma
Blunt trauma
Blast effect
Laceration Trauma
3
A patinet with a snakebite develops airway compromise and respiratory failure. What is the grade of envenomation
Minimal
Severe
None
Moderate
4
After assessing four clients, which will the triage nurse identify to be seen first in the ED?
Client with urinary burning and frequency
Client who reports slurred speech
Client with fever of 101.2°F
Client who reports bilateral ear pain
5
patients who are severely hypothermic are at high risk for
cardiac arrest
Thrombus
Stroke
Tachycardia
6
Some of the most common patient safety issues noted in the ED are? SATA
Patient misidentification
Fall risk
Medical errors or adverse events
Skin breakdown
7
what is the appropriate response when a pt calls to report being bitten on the arm by an unknown type of snake
Immobilize the extremity at the level of the heart
Apply a tourniquet to the affected arm
Extract venom by sucking the wound
Apply ice to the site of the wound
8
When caring for a pt who is ill while mountain climbing, which assessment finding requires immediate intervention?
Nasuea
Lung crackles
Resp Rate of 21 per min
cap refill < 3secs
9
A 65 y/o working in hot outdoors should be assessed for orthostatic hypotension & tachycardia for what condition
Melanoma
Heat MI
Malignant hyperthermia
dehydration
10
After a death the best way to approach and explain what occured to a family in crisis would be to use words such as
Died
Expired
Passed away
Didn't make it
11
Anyone who develops an allergic reaction to bee or wasp stings are to always?
Carry an epi pen
Carry an abuterol inhaler
Drive to the hospital for treatment
Have Benadryl on hand
12
Another common way of determining and documenting level of consciousness in Trauma is using
GCS
A Pen Light
NIH Stoke Scale
The CIWA scale
13
What teaching will the nurse provide to an older adult who has a history of heat exhaustion?
Drink caffeinated beverages before going in the sun
Wear dark clothing to protect the skin from burning
Stay indoors in an air-conditioned room when possible
Take rest breaks every 12 hours when doing activities
14
The Joint Commission advocates that hospitals use a standardized approach to hand-off communication to prevent errors
False
True
15
What is the priority nursing action when a nurse observes an adult drowning in a lake?
D. Initiate airway clearance and deliver rescue breaths
Consider personal swimming abilities
Safely remove person from the water
Stabilize the spine with a board
16
What is the nurse’s priority action for the unconscious patient who is breathing who has been brought to the ED?
Assess breath sounds and respiratory efforts
Establish vascular access with a large-bore catheter
Evaluate level of consciousness (LOC) using the Glasgow Coma Sale (GCS)
Remove clothing to perform a complete physical assessment
17
What mechanism of injury will be documented in a motor vehicle accident whose airbag deployed when the car struck a tree
Penetration
Blast
Acceleration-deceleration
Laceration
18
The primary survey always follows the order of- ABC mnemonic plus a D and an E for trauma patients
True
False
19
On entry to the ED of a client who fell from a roof, what is the nurse’s priority action?
Initiate large-bore IV to infuse normal saline
Place nasal cannula to administer oxygen
Assess airway and stabilize cervical spine
Apply pressure to small bleeding wounds
20
The expected sequence of events in the ED includes (1) treatment, (2) stabilization, and (3) discharge or admission.
True
False
21
When caring for four clients, which does the nurse identify as at the highest risk for frostbite?
28-year old who is a vegetarian
41-year old who is being treated for hypothyroidism
57-year old who drinks 4-5 beers per day
19-year old who takes antihistamines
22
Vulnerable populations who seek ED care include the following
underinsured
All undocumented citizens
New Mother's
Young Adults
23
When effective ventilation is ensured in the Primary Survey, the priority shifts to circulation. How do you assess this?
Insert 2 large bore IV's
Palpate the femoral pulse
Obatin the patinets Blood Pressure
Palpate radial pulse
24
Which client does the oncoming ED nurse see first when assigned to care for four clients?
56-year-old c/o chest pain and diaphoresis that started 30 minutes prior
47-year-old who fell off of a curb, resulting in a sprained ankle
30-year-old with influenza who has infusing IV fluids and is resting
21-year-old with a skin rash who has been waiting 2 hours to see a provider
25
Dry heat or massage should be used as a warming process for frostbite because these actions can rewarm the quickest
False
True