Week 11 Questions - Medical Q&A (PDF)

**[Week 11]** 1. How much blood can a patient lose with each pelvic fracture? a. 250 ml b. **500 ml** c. 750 ml d. Negligible 2. How much blood can a patient lose with a femur fracture? e. 100 ml f. 250 ml g. 500-1000 ml h. **1000-1500 ml** 3. Yo...

**[Week 11]** 1. How much blood can a patient lose with each pelvic fracture? a. 250 ml b. **500 ml** c. 750 ml d. Negligible 2. How much blood can a patient lose with a femur fracture? e. 100 ml f. 250 ml g. 500-1000 ml h. **1000-1500 ml** 3. You are assessing the pt a few hours after his cast was applied and he is complaining of severe pain at the fracture site, it remains unrelieved even after analgesia is given. What do you suspect? i. Expected pain post fracture j. Infection at site k. Fat embolism l. Compartment syndrome 4. There is blood at the urinary meatus, should this patient get a urinary catheter inserted at this time? m. Yes -- always a good idea in trauma n. **No -- not a good idea** 5. What percentage of hip fractures are missed on plain films? o. 2% p. **Up to 10%** q. Up to 15% r. None 6. A client was brought to the emergency department after suffering a closed femur fracture and lacerations around the face due to a hit-and-run accident. The client is conscious and stable. Which of the following assessment findings if observed after few hours, should be reported to the physician immediately? s. Bleeding around the lacerations t. **Change in the level of consciousness** u. Bruises and minimal edema of the eyelids v. Increased pain around the fracture site 7. During the primary survey of a trauma assessment, which of the following is the highest priority? w. Assessing for fractures x. Checking for signs of shock y. **Ensuring a patent airway** z. Evaluating for spinal injuries 8. A client with a femur fracture is being assessed by the nurse. The nurse is concerned about a fat embolism and knows to monitor for which of the following signs and symptoms of a fat embolism? (SATA). a. **Tachypnea** b. Peripheral edema c. **Decreased LOC** d. **Petechial rash** e. Unrelieved pain in the fracture site 9. A client is admitted following a motor vehicle collision (MVC) where the left thigh was crushed beneath the vehicle. The nurse must prioritize assessing for which of the following complications? f. Infection g. Pain h. **Acute renal failure** i. Hypokalemia 10. A plaster splint is applied with an elastic bandage to the leg of a client hospitalized with a fractured tibia in preparation for open reduction and internal fixation of the fracture. The client complains of increasing pain in the affected leg and foot that is not relieved by loosening of the elastic bandage. Which is the best action for the nurse to implement? j. Elevate the leg on two pillows k. **Perform neurovascular assessment of the foot** l. Notify the health care provider m. Apply ice over the fracture site