Trauma Management and Signs of Kidney Damage

Questions and Answers

A sign of kidney damage after blunt trauma is:

Hematochezia

Hematuria (correct)

Hemoptysis

Hematemesis

Appropriate treatment for a 40-year-old male with severe abdominal pain after blunt trauma includes all of the following, except:

Administering supplemental oxygen

Covering him with a warm blanket

Promptly transporting him to the hospital

Giving him small sips of plain water (correct)

You should do the following for a man with a large laceration across his lower abdominal wall and a loop of bowel protruding from the wound:

Gently irrigate the exposed bowel with sterile saline and then cover the wound with a dry sterile dressing

Make one attempt to replace the bowel back into the abdomen and then cover the wound with a sterile dressing

Cover the bowel with a dry sterile dressing, elevate his lower extremities, and cover him with a blanket

Cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage (correct)

After treating a patient with blunt abdominal trauma who is unstable and in shock, you should:

Closely monitor him and reassess him frequently Signup and view all the answers

The most appropriate treatment for a patient with an avulsion to his penis includes:

Applying direct pressure with a dry, sterile dressing Signup and view all the answers

During reassessment of a 42-year-old male with blunt abdominal trauma, if his level of consciousness decreases and his respirations become shallow, you should:

Insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag valve mask Signup and view all the answers

Accumulation of blood in the abdominal cavity will most likely cause:

Distention Signup and view all the answers

All of the following are hollow abdominal organs, except the:

Spleen Signup and view all the answers

Because the depth of an open abdominal wound is often difficult to determine:

Prompt transport to the hospital is essential Signup and view all the answers

Bruising to the right upper quadrant of the abdomen after blunt trauma is most suggestive of injury to the:

Liver Signup and view all the answers

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

A poorly placed lap belt Signup and view all the answers

Study Notes

Kidney Damage Signs

Hematuria indicates kidney damage after blunt trauma.

Abdominal Trauma Management

In cases of blunt abdominal trauma, don't give small sips of water. Instead, prioritize oxygen and transport to the hospital.

Bowel Protrusion Treatment

For a large laceration with bowel protrusion, cover the exposed bowel with a moist sterile dressing and secure it with a dry bandage.

Shock in Patients

For patients showing signs of shock during transport, closely monitor and frequently reassess their condition.

Penile Avulsion

Apply direct pressure with a dry, sterile dressing for a moderate bleeding avulsion of the penis.

Decreasing Consciousness in Trauma Patients

If a patient’s consciousness decreases after blunt trauma, insert an airway adjunct and assist ventilations with a bag valve mask.

Blood Accumulation Effects

Accumulation of blood in the abdominal cavity leads to distention.

Abdominal Organs

The spleen is not a hollow abdominal organ, while ureters, bladder, and stomach are hollow organs.

Open Abdominal Wound Depth

Due to the difficulty in assessing the depth of an open abdominal wound, prompt transport to the hospital is crucial.

Upper Quadrant Bruising

Bruising in the right upper quadrant after blunt trauma suggests liver injury.

Motor Vehicle Crash Abdominal Injuries

Compression injuries during vehicle crashes often result from poorly placed lap belts.

Description

This quiz covers essential management strategies for abdominal trauma, kidney damage signs, and specific treatments for injuries. Evaluate your knowledge on handling conditions such as hemorrhage, shock, and bowel protrusion. Learn the best practices for emergency response in traumatic situations.