Trauma Management and Signs of Kidney Damage
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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:

    <p>Closely monitor him and reassess him frequently</p> Signup and view all the answers

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

    <p>Applying direct pressure with a dry, sterile dressing</p> 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:

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

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

    <p>Distention</p> Signup and view all the answers

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

    <p>Spleen</p> Signup and view all the answers

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

    <p>Prompt transport to the hospital is essential</p> 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:

    <p>Liver</p> Signup and view all the answers

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

    <p>A poorly placed lap belt</p> 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.

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    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.

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