Abdominal Trauma Lab Tests

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Questions and Answers

Which type of trauma consists of open wounds, lacerations, eviscerations, puncture wounds, and gunshot wounds?

  • Penetrating traumas (correct)
  • Hollow Organ Injuries
  • Surface Findings of trauma
  • Solid Organ Injuries

What is a common injury associated with trauma to the abdomen?

  • Fractured pelvis
  • Rib fracture (correct)
  • Spinal injury
  • Contusion or Seatbelt Abrasion across Lower Abd

Which of the following organs is considered a solid organ?

  • Urinary bladder
  • Liver (correct)
  • Stomach
  • Intestines

What can happen if there is content spilling into the peritoneal cavity?

<p>Peritonitis (D)</p> Signup and view all the answers

Which of the following is a possible sign of arterial damage in intraabdominal injuries?

<p>Bruits (C)</p> Signup and view all the answers

Which type of injury can result in hypovolemic shock?

<p>Mesenteric artery tears (A)</p> Signup and view all the answers

What is a possible consequence of diaphragm rupture in intraabdominal injuries?

<p>Presence of bowel sounds in the chest (B)</p> Signup and view all the answers

Which type of injuries are often associated with seat belts pressing intestines and pancreas into the spinal column?

<p>(MVA) Contusion or Seatbelt Abrasion across Lower Abd (B)</p> Signup and view all the answers

What type of injuries can occur in hollow organs of the abdomen?

<p>Stomach or intestine rupture (C)</p> Signup and view all the answers

What is a possible consequence of hemorrhage in abdominal injuries?

<p>Hypovolemic shock (D)</p> Signup and view all the answers

Which laboratory tests are commonly performed in cases of abdominal trauma?

<p>Baseline CBC and urinalysis (A)</p> Signup and view all the answers

What is the reason why the patient will have normal hemoglobin and hematocrit in abdominal trauma, even when bleeding?

<p>Fluids are lost at the same rate as the red blood cells (B)</p> Signup and view all the answers

What can blood in the urine indicate in cases of abdominal trauma?

<p>Kidney or bladder damage (C)</p> Signup and view all the answers

Which diagnostic methods are commonly used in cases of abdominal trauma?

<p>Abdominal CT scan and focused abdominal ultrasound (A)</p> Signup and view all the answers

What can diagnostic peritoneal lavage detect in cases of abdominal trauma?

<p>Blood, bile, intestinal contents, and urine in the peritoneal cavity (B)</p> Signup and view all the answers

Which of the following is NOT a type of blunt trauma?

<p>Penetrating traumas, knife (D)</p> Signup and view all the answers

Which assessment finding is NOT associated with hypovolemic shock?

<p>Altered level of consciousness (B)</p> Signup and view all the answers

What are some surface findings of trauma mentioned in the text?

<p>Abrasions or ecchymoses on abdominal wall (A)</p> Signup and view all the answers

What type of trauma is characterized by a knife injury?

<p>Penetrating traumas (B)</p> Signup and view all the answers

What can blood in the peritoneal cavity indicate in cases of abdominal trauma?

<p>Internal bleeding (C)</p> Signup and view all the answers

Which of the following is NOT a recommended intervention for abdominal trauma?

<p>Removing clothing (C)</p> Signup and view all the answers

What is the purpose of inserting an indwelling urinary catheter in cases of abdominal trauma?

<p>To obtain urine for urinalysis (D)</p> Signup and view all the answers

Which of the following is NOT a part of the abdominal trauma treatment?

<p>Assessing LOC (A)</p> Signup and view all the answers

What is the purpose of volume expanders in the treatment of hypotensive patients with abdominal trauma?

<p>To expand blood volume (B)</p> Signup and view all the answers

Which of the following is NOT a recommended diagnostic method for abdominal trauma?

<p>Assessing abc's (A)</p> Signup and view all the answers

What can blood in the peritoneal cavity indicate in cases of abdominal trauma?

<p>Hollow organ injury (B)</p> Signup and view all the answers

Which of the following is NOT a type of blunt trauma?

<p>Open wounds (D)</p> Signup and view all the answers

What can happen if there is content spilling into the peritoneal cavity in cases of abdominal trauma?

<p>Infection (A)</p> Signup and view all the answers

Which of the following criteria is NOT used to determine a positive diagnostic peritoneal lavage?

<p>Presence of vegetable fibers, feces, and bile (A)</p> Signup and view all the answers

What is the threshold for RBC count to determine a positive diagnostic peritoneal lavage?

<p>Greater than 100,000 (B)</p> Signup and view all the answers

What is the threshold for WBC count to determine a positive diagnostic peritoneal lavage?

<p>Greater than 500 (A)</p> Signup and view all the answers

Which of the following is NOT a criteria for a positive diagnostic peritoneal lavage?

<p>Greater than 100,000 RBC's (B)</p> Signup and view all the answers

What is the criteria for a positive diagnostic peritoneal lavage based on Gram stain?

<p>Bacteria positive (A)</p> Signup and view all the answers

What substances indicate a positive diagnostic peritoneal lavage?

<p>Vegetable fibers, feces, and bile (B)</p> Signup and view all the answers

What is the threshold for alkaline phosphatase to determine a positive diagnostic peritoneal lavage?

<p>Greater than 6 (C)</p> Signup and view all the answers

What is the threshold for amylase to determine a positive diagnostic peritoneal lavage?

<p>Greater than 175 (B)</p> Signup and view all the answers

Which of the following is NOT a criteria for a positive diagnostic peritoneal lavage based on lab results?

<p>Greater than 100,000 RBC's (C)</p> Signup and view all the answers

Which of the following is a consequence of insulin deficiency in diabetes?

<p>Ketosis and metabolic acidosis (A)</p> Signup and view all the answers

What is the process called when ketone bodies are excreted in the urine?

<p>Ketonuria (C)</p> Signup and view all the answers

What happens to the pH balance in the body during ketosis?

<p>It becomes more acidic (B)</p> Signup and view all the answers

Which of the following is NOT a consequence of insulin deficiency in diabetes?

<p>Excessive protein synthesis (A)</p> Signup and view all the answers

What is the secondary source of fuel when glucose cannot be properly used for energy in diabetes?

<p>Lipid (C)</p> Signup and view all the answers

What can excessive ketones in the blood cause in diabetes?

<p>Ketosis (A)</p> Signup and view all the answers

What happens to the blood glucose level in diabetes due to insulin deficiency?

<p>It increases further (C)</p> Signup and view all the answers

What is the purpose of glucagon in diabetes management?

<p>To treat hypoglycemia (D)</p> Signup and view all the answers

What happens to electrolytes during the process of ketonuria in diabetes?

<p>They are excreted in the urine (A)</p> Signup and view all the answers

What is the consequence of insulin deficiency on protein degradation in diabetes?

<p>Excessive protein degradation (B)</p> Signup and view all the answers

Which of the following is a characteristic of diabetes-related ketoacidosis (DKA)?

<p>Dehydration (D)</p> Signup and view all the answers

In which type of diabetes is DKA most likely to occur?

<p>Type 1 diabetes (B)</p> Signup and view all the answers

Under what conditions may DKA be seen in people with type 2 diabetes?

<p>During periods of severe illness or stress (D)</p> Signup and view all the answers

What are some precipitating factors for DKA?

<p>Lack of education or resources (A)</p> Signup and view all the answers

What is one of the diabetes management instructions for blood glucose?

<p>Monitor your blood glucose at home and record results in a log (B)</p> Signup and view all the answers

What should a patient do when it pertains to taking insulin?

<p>Take insulin as prescribed (D)</p> Signup and view all the answers

What should a patient do when it pertains to insulin and sickness?

<p>Take insulin consistently, especially when sick (D)</p> Signup and view all the answers

What should a patient do to ensure an adequate supply of insulin?

<p>Keep an adequate supply of insulin on hand at all times (D)</p> Signup and view all the answers

How often should a patient obtain an A1C blood test?

<p>Every 3-6 months (A)</p> Signup and view all the answers

What should a patient be aware of when it comes to blood glucose?

<p>Symptoms of hypoglycemia and hyperglycemia (B)</p> Signup and view all the answers

Which of the following is a manifestation of hyperglycemia?

<p>Increase in urination (A)</p> Signup and view all the answers

Which of the following is a manifestation of hypoglycemia?

<p>Faintness, dizziness (D)</p> Signup and view all the answers

What is a cause of hyperglycemia?

<p>Poor absorption of insulin (B)</p> Signup and view all the answers

What is a cause of hypoglycemia?

<p>Too little or no diabetes medication (B)</p> Signup and view all the answers

Which of the following is a manifestation of hyperglycemia?

<p>Weakness, fatigue (A)</p> Signup and view all the answers

Which of the following is a manifestation of hypoglycemia?

<p>Unsteady gait, slurred speech (C)</p> Signup and view all the answers

What is a cause of hyperglycemia?

<p>Inactivity (B)</p> Signup and view all the answers

What is a cause of hypoglycemia?

<p>Too much exercise without adequate food intake (B)</p> Signup and view all the answers

Which of the following is a manifestation of hyperglycemia?

<p>Progression to DKA or HHS (B)</p> Signup and view all the answers

Which of the following is a manifestation of hypoglycemia?

<p>Hunger (B)</p> Signup and view all the answers

Which of the following is a characteristic of hypoglycemia?

<p>Use of β-adrenergic blockers interfering with recognition of symptoms (C)</p> Signup and view all the answers

What is the recommended treatment for hyperglycemia?

<p>Check blood glucose frequently and check urine for ketones; record results (B)</p> Signup and view all the answers

What is the recommended treatment for hypoglycemia according to the 'rule of 15'?

<p>Have patient eat or drink 15 g of quick-acting carbohydrate (B)</p> Signup and view all the answers

What should the patient do if symptoms of hypoglycemia do not subside after 2 or 3 doses of quick-acting carbohydrate?

<p>Contact healthcare provider or emergency service (A)</p> Signup and view all the answers

Which of the following is NOT a recommended treatment for hyperglycemia?

<p>Get medical care (B)</p> Signup and view all the answers

What is the purpose of giving the patient additional food of carbohydrate plus protein or fat in the treatment of hypoglycemia?

<p>To provide additional energy (D)</p> Signup and view all the answers

What is the recommended timeframe for repeating the treatment of 15 g of carbohydrate if blood glucose is still <70 mg/dL in hypoglycemia?

<p>After 15 minutes (D)</p> Signup and view all the answers

What should the patient do if the next meal is more than 1 hour away or they are engaged in physical activity after stabilizing the glucose level in hypoglycemia?

<p>Eat or drink quick-acting carbohydrate (B)</p> Signup and view all the answers

What is the recommended action if symptoms of hypoglycemia do not subside after 2 or 3 doses of quick-acting carbohydrate?

<p>Contact healthcare provider or emergency service (A)</p> Signup and view all the answers

What is the purpose of checking blood glucose frequently in the treatment of hyperglycemia?

<p>To monitor the effectiveness of diabetes medication (D)</p> Signup and view all the answers

Which of the following is a key characteristic of Hyperosmolar Hyperglycemic State (HHS)?

<p>Gradual onset of symptoms (D)</p> Signup and view all the answers

What is the main cause of HHS?

<p>Presence of infection or illness (D)</p> Signup and view all the answers

Which age group is more likely to develop HHS?

<p>Older adults (A)</p> Signup and view all the answers

What are the main problems associated with HHS?

<p>Dehydration and hyperglycemia (A)</p> Signup and view all the answers

What is the treatment for HHS?

<p>Fluid administration and insulin therapy (D)</p> Signup and view all the answers

What is the effect of HHS on blood pH?

<p>Normal blood pH (A)</p> Signup and view all the answers

Which assessment finding is more likely to be present in HHS compared to Diabetic Ketoacidosis (DKA)?

<p>Mental status changes (C)</p> Signup and view all the answers

What is the recommended IV fluid for HHS treatment?

<p>0.9% NaCl (B)</p> Signup and view all the answers

What is the purpose of administering IV potassium in HHS?

<p>To treat hypokalemia (B)</p> Signup and view all the answers

How often should glucose be monitored in HHS?

<p>Every 15 minutes to 1 hour (A)</p> Signup and view all the answers

Which of the following is a key characteristic of diabetic ketoacidosis (DKA)?

<p>Presence of ketones and acidosis (A)</p> Signup and view all the answers

What is the main cause of DKA?

<p>Lack of insulin in the body or illness/infection (B)</p> Signup and view all the answers

Which of the following is a common symptom of DKA?

<p>Fruity breath (B)</p> Signup and view all the answers

What is the recommended treatment for DKA?

<p>Fluids, electrolyte replacement, and insulin (D)</p> Signup and view all the answers

What should be monitored closely when administering insulin in DKA treatment?

<p>Potassium levels (D)</p> Signup and view all the answers

What is the purpose of NaHCO3 (bicarbonate) in DKA treatment?

<p>To correct severe acidosis (pH &lt;7.0) (C)</p> Signup and view all the answers

Which of the following is a key nursing intervention for DKA?

<p>Ensure patent airway and administer oxygen (A)</p> Signup and view all the answers

What is the recommended rate for continuous regular insulin drip in DKA treatment?

<p>0.1U/kg/hr (B)</p> Signup and view all the answers

Which of the following is a recommended test to diagnose fluid or electrolyte imbalance in DKA?

<p>Osmolality test (A)</p> Signup and view all the answers

What should be added to IV fluid in the treatment of hypoglycemia?

<p>Dextrose (D)</p> Signup and view all the answers

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