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Questions and Answers
What does the term "<C>" stand for in the context of the Primary Survey?
What does the term "<C>" stand for in the context of the Primary Survey?
When assessing the airway during the primary Assessment, it is important to avoid hyperextension of the neck.
When assessing the airway during the primary Assessment, it is important to avoid hyperextension of the neck.
True
During the assessment of Breathing, you should listen for dyspnea, cyanosis, and paradoxical/asymmetric chest wall movement.
During the assessment of Breathing, you should listen for dyspnea, cyanosis, and paradoxical/asymmetric chest wall movement.
True
Which of the following assessments and interventions are considered part of the "Circulation" component of the primary assessment?
Which of the following assessments and interventions are considered part of the "Circulation" component of the primary assessment?
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What does the Glasgow Coma Scale assess when assessing the patient's "Disability" in the primary survey?
What does the Glasgow Coma Scale assess when assessing the patient's "Disability" in the primary survey?
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During the "Exposure" component of the Primary survey, you should always remove impaled objects immediately to prevent further injury.
During the "Exposure" component of the Primary survey, you should always remove impaled objects immediately to prevent further injury.
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The "Full Set of Vitals and Family Presence" component of the primary survey encourages family members' presence during the initial assessment and resuscitation.
The "Full Set of Vitals and Family Presence" component of the primary survey encourages family members' presence during the initial assessment and resuscitation.
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Which of the following are considered "comfort measures" in the context of the "Get Monitoring Devices & Give Comfort" stage of the primary survey?
Which of the following are considered "comfort measures" in the context of the "Get Monitoring Devices & Give Comfort" stage of the primary survey?
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During the Secondary Survey, a pulseless extremity is considered a time-critical emergency requiring immediate attention and intervention.
During the Secondary Survey, a pulseless extremity is considered a time-critical emergency requiring immediate attention and intervention.
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When assessing the posterior surfaces of a patient during the Secondary Survey, it is essential to logroll the patient to prevent injury to the cervical spine.
When assessing the posterior surfaces of a patient during the Secondary Survey, it is essential to logroll the patient to prevent injury to the cervical spine.
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Which of the following are crucial components of the "Just Keep Reevaluating" aspect of the Secondary Survey?
Which of the following are crucial components of the "Just Keep Reevaluating" aspect of the Secondary Survey?
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EMTALA requires immediate medical attention and stabilization for patients who present to the Emergency Department regardless of their ability to pay for services.
EMTALA requires immediate medical attention and stabilization for patients who present to the Emergency Department regardless of their ability to pay for services.
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A physician is required to stop and render aid to a person who is in an accident, regardless of whether it is safe or prudent to do so.
A physician is required to stop and render aid to a person who is in an accident, regardless of whether it is safe or prudent to do so.
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Which of the following conditions may lead to Pulseless Electrical Activity (PEA)?
Which of the following conditions may lead to Pulseless Electrical Activity (PEA)?
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When a patient dies in the Emergency Department, it is essential to inform the family and friends about the situation, providing compassionate support and assistance during the difficult time.
When a patient dies in the Emergency Department, it is essential to inform the family and friends about the situation, providing compassionate support and assistance during the difficult time.
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What does the acronym ABCDEFG stand for in trauma assessment?
What does the acronym ABCDEFG stand for in trauma assessment?
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<C> in <C>ABC stands for "catastrophic hemorrhage."
<C> in <C>ABC stands for "catastrophic hemorrhage."
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What is the primary method of opening an airway in trauma emergencies?
What is the primary method of opening an airway in trauma emergencies?
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When is rapid-sequence intubation recommended for securing the airway?
When is rapid-sequence intubation recommended for securing the airway?
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Which of the following is NOT a sign of a compromised airway?
Which of the following is NOT a sign of a compromised airway?
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The Glasgow Coma Scale assesses the patient's ______, ______, and ______ response.
The Glasgow Coma Scale assesses the patient's ______, ______, and ______ response.
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When assessing a patient's circulation in trauma, it is crucial to check for signs of shock and capillary refill.
When assessing a patient's circulation in trauma, it is crucial to check for signs of shock and capillary refill.
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What type of fluid is generally used for aggressive fluid resuscitation in trauma patients?
What type of fluid is generally used for aggressive fluid resuscitation in trauma patients?
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What is the best approach to manage penetrating abdominal trauma in the early stages of care?
What is the best approach to manage penetrating abdominal trauma in the early stages of care?
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Match the following terms related to the initial assessment of trauma patients with their corresponding actions or considerations:
Match the following terms related to the initial assessment of trauma patients with their corresponding actions or considerations:
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Study Notes
The Primary Survey: A Life-Saving Approach
- The "C" in the primary survey stands for Circulation.
- Airway: Maintain a patent airway by positioning the patient’s head in a neutral position, tilting their chin up, and potentially using an airway adjunct. Avoid hyper-extending the neck, which can hinder breathing.
- Breathing: Assess the patient's respiratory rate, effort, and sounds. Observe for signs of respiratory distress, including dyspnea (difficulty breathing), cyanosis (bluish discoloration of the skin), and paradoxical/asymmetric chest wall movement.
- Circulation: Includes assessing the patient's pulse, blood pressure, and skin color. Other interventions include controlling external bleeding, starting IV fluids, and administering medications.
- Disability: The Glasgow Coma Scale (GCS) assesses a patient's level of consciousness, evaluating their eye opening, verbal response, and motor response to provide a numerical score reflecting their neurological status.
- Exposure: Remove clothing to allow for a comprehensive physical assessment and maintain patient warmth. However, impaled objects should never be removed, as they can worsen injury.
- Full Set of Vitals and Family Presence: Encourage family members’ presence during the initial assessment and resuscitation, providing support and comfort.
- Get Monitoring Devices & Give Comfort: This includes monitoring vital signs, managing pain, and providing emotional support to the patient. Examples of comfort measures include using blankets, providing a bedside fan, and offering reassurance.
The Secondary Survey: A Deeper Dive
- A pulseless extremity is a time-critical emergency requiring immediate attention and intervention.
- Logrolling is a technique used to assess the posterior surfaces of a patient during the secondary survey. This maneuver allows examination without moving the patient's cervical spine and risking further injury.
- Just Keep Reevaluating: This involves the continual reassessment of the patient's condition throughout the primary and secondary surveys, including vital signs, pain levels, and the effectiveness of treatments.
Additional Considerations
- EMTALA (Emergency Medical Treatment and Active Labor Act): Requires immediate medical attention and stabilization for patients who present to the Emergency Department, regardless of their ability to pay for services.
- Duty to Act: A physician is generally not legally obligated to stop and render aid to a person who is in an accident. However, there are exceptions, for example, if the physician is the only person present.
- Pulseless Electrical Activity (PEA): This occurs when there is electrical activity in the heart but no mechanical contraction, resulting in a lack of pulse. This can be caused by a range of factors, including hypoxia, hypovolemia, hyperkalemia, and cardiac tamponade.
- End-of-life Care: When a patient dies in the Emergency Department, it is essential to inform the family and friends about the situation, providing compassionate support and assistance during the difficult time. Offer condolences, facilitate the grieving process, and provide resources for support.
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Description
This quiz covers essential knowledge for nursing professionals in trauma care, focusing on assessment, emergency stabilization techniques, and ethical considerations. It includes key concepts of triage, primary survey assessments, and the management of hypovolemic shock. Enhance your understanding of trauma nursing and improve patient care strategies.
