Questions and Answers
Based on the assessment findings of an intoxicated patient with a stab wound in the left lower chest, which abdominal injury should you suspect?
Which membrane lines the abdominal wall?
Which laboratory test is considered the best indicator of a pancreatic injury?
A flat or concave abdomen may be a sign of which injury?
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Which organ can be injured in a patient with a fracture of the right eighth rib?
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Which diagnostic test can best detect a retroperitoneal injury?
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Injuries to which structure are diagnosed based on patient assessment and the presence of free air on abdominal radiography?
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Which type of injury is most likely to initially cause a fever and an elevated white blood cell count?
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In a hypotensive patient with abdominal trauma, what is the best option for pain control?
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Which type of injury is associated with pelvic fractures?
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For a hemodynamically stable patient who complains of abdominal and left shoulder pain after falling off a bicycle, which intervention is indicated?
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In a patient who was in a motor vehicle crash, which sign most strongly suggests abdominal trauma?
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Which structure is considered a hollow abdominal organ?
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During a complete abdominal assessment, the nurse should perform which action second?
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Which diagnostic test is used to detect a foreign body?
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For a patient with an evisceration, which intervention is indicated?
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Which part of the genitourinary tract is the least commonly injured?
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Which organ is an intraperitoneal structure?
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In a patient with a penetrating injury, why is it difficult to estimate the extent of tissue damage?
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A belted driver is least likely to sustain an abdominal injury in which type of impact in a motor vehicle crash?
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What is the most common mechanism of injury that causes abdominal trauma?
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Which type of injury requires early surgical treatment to prevent urethral stenosis?
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For a patient with a severe anterior pelvic fracture, which intervention should be deferred initially?
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Which factor is a disadvantage of a focused assessment sonography in trauma?
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Abscess formation is associated with which pathology?
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Bruising over the right upper quadrant and referred pain to the right shoulder are manifestations of an injury to which organ?
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Which type of injury requires immediate surgery?
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Periumbilical bruising is a sign of which injury?
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Which solid organ is located in the retroperitoneal space?
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Study Notes
Abdominal and GI Trauma Key Points
- Intoxicated patients with stab wounds and difficulty breathing may have diaphragmatic rupture, indicated by bowel sounds in the chest and decreased breath sounds.
- The abdominal wall is lined by the parietal peritoneum, which also has important implications for injury assessments.
- Lipase level is the most reliable laboratory test for diagnosing pancreatic injuries compared to amylase or white blood cell counts.
- A flat or concave abdomen can indicate a ruptured diaphragm, emphasizing the need for thorough assessment in trauma cases.
- Fractures of the right eighth rib can potentially injure the liver due to anatomical proximity.
- Computed tomography scans are the preferred diagnostic tests for retroperitoneal injuries.
- The stomach is assessed for injury by noting free air on abdominal radiography.
- Intestinal injuries are more likely to present with fever and elevated white blood cell counts.
- Hypotensive patients with abdominal trauma can benefit from fentanyl for pain control due to its rapid onset.
- Pelvic fractures are commonly associated with bladder injuries, necessitating prompt evaluation.
- Hemodynamically stable patients displaying abdominal and left shoulder pain should undergo serial assessments to monitor changes.
- Tachycardia is a critical sign suggesting abdominal trauma after a motor vehicle crash.
- The small intestine is classified as a hollow organ, an important distinction in assessing organ integrity.
- The abdominal assessment should start with inspection followed by auscultation for best practice.
- Plain abdominal radiography is the standard diagnostic test for identifying foreign bodies.
- In cases of evisceration, covering the area with sterile and saline-soaked pads is crucial to prevent contamination.
- The ureters are the least commonly injured part of the genitourinary tract, requiring focused assessment during trauma evaluations.
- The large intestine is categorized as an intraperitoneal organ, vital for understanding its role in trauma.
- Penetrating injuries present challenges in estimating tissue damage due to the potential for wound tract closure.
- Belted drivers in rear impacts are less likely to sustain abdominal injuries compared to other types of collisions.
- Motor vehicle crashes are the leading cause of abdominal trauma, highlighting the need for effective prevention strategies.
- Immediate surgical treatment is critical for penile injuries to avoid complications such as urethral stenosis.
- For severe anterior pelvic fractures, urinary catheter insertion should be postponed to prevent further complications.
- A major limitation of focused assessment sonography in trauma is its inability to reliably detect hollow viscus injuries.
- Urethral foreign bodies can lead to abscess formation, thus requiring careful management.
- Right upper quadrant bruising and referred shoulder pain indicate possible liver injuries, necessitating urgent assessment.
- Gastric injuries often require immediate surgical intervention due to the risk of serious complications.
- Periumbilical bruising is indicative of intraperitoneal hemorrhage, serving as a warning sign in trauma assessments.
- The pancreas is the primary solid organ located in the retroperitoneal space, critical for trauma consideration.
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Description
Test your knowledge on abdominal and gastrointestinal trauma with these flashcards designed for emergency nursing. Each flashcard presents a clinical scenario requiring critical thinking about potential injuries. Ideal for preparing for exams or enhancing your practical skills.
