20 Questions
What is the most significant sign of shock to monitor for in a patient?
Delayed capillary refill
In a cold environment, what should be taken into account when evaluating capillary refill?
It is delayed
Regarding Disability assessment, what level of consciousness does 'A' represent in the AVPU scale?
Alert
What is the primary cause of injury for older adults according to the text?
Environmental hazards
Which condition occurs when thermoregulatory mechanisms cannot compensate for exposure to increased ambient temperatures?
Heat exhaustion
What is the recommended initial oxygen therapy delivery method for a patient in an emergency situation?
High-flow O2 via a nonrebreather mask
What is the primary focus of the emergency nursing primary survey?
Airway, breathing, circulation, and disability
Which of the following is a sign/symptom of a patient with a compromised airway?
Inability to vocalize
What is the preferred procedure for managing an unprotected airway during rapid-sequence intubation?
Involving sedation or anesthesia and paralysis
What is the least to most invasive method for maintaining an airway in emergency nursing?
Open airway using jaw-thrust maneuver, then suction and remove foreign body
What is used to immobilize the cervical spine during assessment of the airway at the scene of injury?
Cervical collar or cervical immobilization device (CID)
When identifying life-threatening conditions during the primary survey, what should be done immediately?
Start interventions related to ABCD
What is the most serious form of heat stress described in the text?
Heatstroke
Which of the following symptoms is NOT associated with heatstroke?
Profuse diaphoresis
What is a key intervention for managing heatstroke?
Rapidly reducing temperature
Which condition may occur due to direct thermal injury to the brain in heatstroke?
Cerebral edema
What is a potential complication of treating heatstroke in a patient with shivering?
Complicated cooling efforts
In hypothermia, what is a complication that should be monitored for?
Rhabdomyolysis
What is a characteristic of the skin in a patient experiencing heatstroke?
Hot, dry, and ashen
Why is it essential to rapidly reduce the core temperature in a patient with heatstroke?
To prevent complications like cerebral edema
Study Notes
- Emergency Nursing Primary survey focuses on ABCDE: airway, breathing, circulation, disability, and exposure to identify life-threatening conditions.
- Interventions are immediately started if life-threatening conditions related to ABCD are identified during the primary survey.
- Airway management includes techniques like jaw-thrust maneuver, suctioning, airway insertion, endotracheal intubation, and rapid-sequence intubation for trauma to face or neck.
- Breathing assessment involves checking for dyspnea, cyanosis, chest wall movement, breath sounds, and administering high-flow O2 or bag-valve-mask ventilation for life-threatening conditions.
- Circulation assessment includes checking central pulse, skin color/temperature/moisture, mental status, capillary refill, IV line insertion, and direct pressure for bleeding sites.
- Disability is measured through the patient's level of consciousness using scales like AVPU and Glasgow Coma Scale.
- Exposure/environmental control involves removing clothing for assessment, preventing heat loss, and a systematic process to identify all injuries.
Learn about the primary survey in emergency nursing, focusing on airway, breathing, circulation, disability, and exposure (ABCDE) to identify life-threatening conditions. Understand the signs and symptoms of compromised airway and interventions for airway management in emergency situations.
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