Emergency Department Nursing Quiz

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Questions and Answers

What is the immediate action a nurse should take when a patient is suspected of choking?

  • Ask if the patient is choking (correct)
  • Call for additional medical assistance
  • Begin mouth-to-mouth resuscitation
  • Administer a sedative

Which condition is represented by the vital signs: BP 80/54, P 102, RR 22?

  • Dehydration from excessive sweating
  • Inadequate perfusion
  • Bradycardia due to heart disease
  • Circulatory shock (correct)

How can a nurse assess the effectiveness of CPR being performed on an adult patient?

  • By monitoring the patient's blood pressure during compressions
  • By observing swelling in the patient's extremities
  • By ensuring compressions are at least 3 inches deep
  • By assessing a palpable carotid pulse during each compression (correct)

In a traumatic emergency, what should be the rescuer’s first priority upon arriving at the scene?

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

What might the nurse conclude if a patient exhibits vitals of BP 80/54 and a rapid pulse of 102?

<p>The patient is in circulatory shock (C)</p> Signup and view all the answers

During CPR, which of the following is considered a critical factor for success?

<p>Achieving an adequate depth of compressions (B)</p> Signup and view all the answers

Which of the following best describes the impact of severe blood loss in trauma victims?

<p>It causes circulatory shock due to inadequate perfusion (C)</p> Signup and view all the answers

What is NOT a correct action to take when assessing a choking victim?

<p>Perform the Heimlich maneuver immediately (A)</p> Signup and view all the answers

Which symptom is a nurse most likely to observe with a patient in shock?

<p>Cool, clammy skin (C)</p> Signup and view all the answers

What does the 'C' in the RICE acronym signify in the context of treating a sprain?

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

When performing CPR on an infant, how far should the breastbone be depressed?

<p>One-third of the chest diameter (A)</p> Signup and view all the answers

Which of the following is NOT a component of the RICE method for managing a sprain?

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

What characteristic is least likely associated with deep partial-thickness burns?

<p>Charred skin with milky-white areas (D)</p> Signup and view all the answers

What is the primary reason for immediately cooling a burn?

<p>To stop the burning process (A)</p> Signup and view all the answers

In a situation requiring CPR for an infant, which statement is correct regarding the depression of the breastbone?

<p>It should be depressed by one-third of the chest diameter. (B)</p> Signup and view all the answers

When caring for a patient with a suspected head injury, which position is appropriate?

<p>Flat on the back (D)</p> Signup and view all the answers

Which nursing process step is primarily involved in administering CPR?

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

Which of the following actions is crucial in the initial management of a sprain according to the RICE method?

<p>Provide compression to the sprain (D)</p> Signup and view all the answers

In which scenario would abdominal thrusts be considered inappropriate?

<p>For a pregnant woman (C)</p> Signup and view all the answers

For which patient condition is it critical to administer chest thrusts?

<p>A pregnant coworker who is choking (D)</p> Signup and view all the answers

What symptom would not typically indicate a deep partial-thickness burn?

<p>Charred skin appearance (B)</p> Signup and view all the answers

What action should be prioritized when arriving at a fire scene with a burn victim?

<p>Cool the burn area (A)</p> Signup and view all the answers

Which factor is most critical when positioning a patient in shock due to a head injury?

<p>Preventing intracranial pressure increase (A)</p> Signup and view all the answers

What is the primary indicator of a potentially serious burn injury?

<p>Presence of charred areas (D)</p> Signup and view all the answers

Which method is typically used to address choking in unconscious individuals?

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

What percentage of body surface area is burned if a patient has burns on half of the front torso, entire left arm, and front of the left leg?

<p>27 (D)</p> Signup and view all the answers

Which combination of techniques should a nurse use to treat an infant who is choking?

<p>Back blows and chest thrusts (D)</p> Signup and view all the answers

In the case of a suspected spinal injury, which maneuver should be used to open the airway before starting CPR?

<p>Jaw-thrust maneuver (B)</p> Signup and view all the answers

How many compressions are performed during two-person CPR before providing breaths?

<p>30 compressions (D)</p> Signup and view all the answers

What is the correct method to treat a choking child with a foreign body?

<p>A combination of abdominal thrusts and back blows (D)</p> Signup and view all the answers

Which technique should NOT be used for infants suspected of choking?

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

In a scenario of a burn patient, how is burned body surface area assessed?

<p>Using the rule of nines (A)</p> Signup and view all the answers

What is the primary goal when treating an infant who is choking?

<p>Relieve the obstruction quickly (B)</p> Signup and view all the answers

What potential risk does the nurse face while using abdominal thrusts on infants?

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

When performing CPR in a two-person scenario, how are the breaths administered?

<p>Two slow breaths after every 30 compressions (A)</p> Signup and view all the answers

What is the correct approach for bandaging a victim's right lower extremity?

<p>Leave the toes exposed for circulation monitoring. (B)</p> Signup and view all the answers

In the case of a patient who has ingested a poisonous substance, what should be the nurse's first action?

<p>Contact the poison control center for guidance. (C)</p> Signup and view all the answers

What is the best method for removing an embedded bee stinger?

<p>Scrape the stinger out using the side of a knife. (A)</p> Signup and view all the answers

What should the nurse do when a patient with heatstroke starts to shiver?

<p>Remove cold packs and stop the cooling interventions. (C)</p> Signup and view all the answers

Which of the following actions is NOT appropriate when applying a bandage to a lower extremity?

<p>Using non-sterile materials if sterile isn't available. (A)</p> Signup and view all the answers

Which sign indicates that a patient is experiencing a reaction requiring urgent intervention after toxin exposure?

<p>Rapid onset of altered mental status. (C)</p> Signup and view all the answers

What is a common misstep when dealing with a bee sting in the emergency setting?

<p>Trying to remove the stinger with fingers. (C)</p> Signup and view all the answers

After applying cooling measures to a patient with heatstroke, the shivering response indicates what?

<p>The cooling measures need to be modified. (D)</p> Signup and view all the answers

Which intervention is least prioritized in the management of poison ingestion?

<p>Attempt to induce vomiting with home remedies. (D)</p> Signup and view all the answers

What action should be avoided when bandaging an injured extremity?

<p>Wrapping too tightly to create compression. (C)</p> Signup and view all the answers

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Study Notes

Emergency Department Nursing

  • Choking
    • If someone is choking, ask "Are you choking?"
    • If so, immediately perform the Heimlich maneuver.

Shock

  • Signs of Shock
    • Low blood pressure (80/54)
    • Rapid pulse (102)
    • Rapid respirations (22)

Cardiopulmonary Resuscitation (CPR)

  • Determining Effective CPR
    • A palpable carotid pulse should be felt during every compression.

Rescuer Priorities

  • Accident Scene
    • Primary concern is airway assessment with a suspected spinal injury.

Bandaging

  • Lower Extremity Bandaging
    • Leave toes exposed to monitor circulation.

Poisoning

  • Poison Control Center
    • Always contact the poison control center as the primary intervention in cases of poisoning.

Bee Stings

  • Stinger Removal
    • Scrape the stinger with the side of a knife to avoid forcing venom deeper into the skin.

Heatstroke

  • Cooling Interventions
    • If a patient starts shivering after cooling interventions, discontinue the cooling techniques.

Burn Assessment

  • Deep Partial-Thickness Burns
    • Characterized by blister formation with erythema.

Burn Care

  • First Action
    • Immediately cool the burn to stop the burning process.

Head Injuries

  • Positioning
    • Keep the patient flat on their back, do not elevate head if a head injury is suspected.

Infant Choking

  • Heimlich Maneuver
    • Use a combination of back blows and chest thrusts.

Spinal Injury

  • CPR Maneuver
    • Open the airway with a jaw-thrust maneuver to avoid hyperextension of the neck.

Two-Person CPR

  • Compressions and Breaths
    • Two slow breaths are given after every 30 compressions.

Sprains

  • RICE Acronym
    • The acronym RICE stands for Rest, Ice, Compression, and Elevation.

Infant CPR

  • Chest Compression Depth
    • Depress the breastbone one-third the chest diameter or in.

Burn Calculations

  • Rule of Nines
    • Half of the front torso = 9%
    • Entire left arm = 9%
    • Front of the left leg = 9%
    • Total burn = 27%

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