Next step is to assess airway and alertness with AVPU - the V means:

Patient responds to verbal stimuli

Assessment of neurological status for DISABILITY is done as part of triage only

False - neuro checks are trended to detect ↑ or ↓

"H" is for HISTORY - obtain pre-hospital report from EMS or patient and family. Includes:

ALL of these need to be included

Facilitate adjuncts (full set of vital signs) and family

What is a key question to keep in mind when evaluating the patient?

Is this illness or injury related?

Arrival of the patient starts with....

Across the room observation for life threatening conditions

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Primary and Secondary Assessment of Emergency Department Patient

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Class Quiz for Critical Thinking and Orientation for the ED Nurse class #emergencydepartment #emergencydepartmentrn #orientation

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Questions 15

Answers

1
Exposure and environmental assess:
Temperature and skin
Lead in drinking water
Weather and pollution
Communicable disease exposure
2
Next step is to assess airway and alertness with AVPU - the V means:
Patient is able to speak
Patient is non-verbal
Patient responds to verbal stimuli
Patient can verbally answer questions correctly
3
Breathing and ventilation is assessed by resp rate, pattern, effort, lung sounds and O2 sat.
False
True
4
Assessment of neurological status for DISABILITY is done as part of triage only
True - it is a one time assessment
False - neuro checks are trended to detect ↑ or ↓
5
What is part of the primary survey?
ABCDE
LMNOP
QRST
FGH
6
"H" is for HISTORY - obtain pre-hospital report from EMS or patient and family. Includes:
ALL of these need to be included
Mechanism of illness of injury; S & S, treatment PTA
S & S, allergies, pertinent meds, pertinent PMH
Events leading up to the illness or injury
7
THe following interventions are part of the secondary survey except
Determining pt's home medications
Asking about the last meal
preventing hypothermia
Obtaining a PMH
8
Assessment parameters for circulation and control of hemmorhage include:
All of these!
skin color, temperature
cap refill time, pulses, blood pressure, heart rate
level of consciousness
9
"G"=Get Resuscitation Adjuncts which reminds us to:
NG / OG as needed and pain management
ALL of the these!
Obtain necessary LAB STUDIES
Appropriately MONITOR pt (cardiac, pulse ox, capnography)
10
"F" stands for?
Fantastic
a bad word
Facilitate adjuncts (full set of vital signs) and family
Fancy
11
Best practice pain assessment includes an objective score & PQRST. To assess for "P" (provokes)
Ask what were you doing when the pain started
Ask if anything makes it better or worse
Ask does anything change the pain?(deep breath, cough, move)
ALL of these
12
Head to toe evaluation involves focused assessment related to C/C: inspect, palpate&auscultate
Looking for injuries, wounds, bruises, abrasions, edema
Looking for asymmetry, drainage, anything related to pt C/C
Looking for areas of tenderness, redness, bony deformity
ALL of these!!
13
What is a key question to keep in mind when evaluating the patient?
Does the patient have a ride home?
Is this illness or injury related?
What is for lunch?
What is the ulterior motive of the patient?
14
"F" reminds us to trend vital signs at regular intervals and the importance of family presence
True
False
15
Arrival of the patient starts with....
Across the room observation for life threatening conditions
Chest Compressions
Pre-authorization from insurance company
Registration

Primary and Secondary Assessment of Emergency Department Patient Flashcards | StudBud