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Questions and Answers
A sign of kidney damage after blunt trauma is:
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:
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:
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:
After treating a patient with blunt abdominal trauma who is unstable and in shock, you should:
The most appropriate treatment for a patient with an avulsion to his penis includes:
The most appropriate treatment for a patient with an avulsion to his penis includes:
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:
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:
Accumulation of blood in the abdominal cavity will most likely cause:
Accumulation of blood in the abdominal cavity will most likely cause:
All of the following are hollow abdominal organs, except the:
All of the following are hollow abdominal organs, except the:
Because the depth of an open abdominal wound is often difficult to determine:
Because the depth of an open abdominal wound is often difficult to determine:
Bruising to the right upper quadrant of the abdomen after blunt trauma is most suggestive of injury to the:
Bruising to the right upper quadrant of the abdomen after blunt trauma is most suggestive of injury to the:
Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
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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.
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