NUR 2755 Multidimensional Care IV/MDC 4 FINAL EXAM 3

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NUR 2755 Multidimensional Care IV/MDC 4 FINAL EXAM 3 What does triaging do? Correct Answer: *acts as gatekeeper* helps prioritize patient care based on illness and severity level According to ... triage, what patients would be seen firtst Correct Answer: highest acuity patients will receive quickest intervention (Most ill/severe will get seen first) What is a good model for triaging patients? Correct Answer: ABCs Is hospital triaging the same as mass casualty triaging? Correct Answer: NO Which triage situation uses tags? Correct Answer: mass casualties what are the categories of triage? Correct Answer: - emergent - urgent - nonurgent - primary survey what classifies a patient as emergent according to triage Correct Answer: - life threatening injuries - needs immediate treatment what patient conditions warrant an emergent status of triage Correct Answer: - respiratory distress - chest pain with diaphoresis - stroke - active hemorrhage - unstable vitals what classifies a patient as urgent according to triage Correct Answer: patient should be treated quickly but there is not and immediate threat to life what patient conditions warrant an urgent status for triage Correct Answer: - severe abdominal pain - renal colic - displaced multiple fractures - new onset of respiratory infection (pneumonia) what classifies a patient as nonurgent according to triage Correct Answer: patient can wait several hours without a risk to life what patient conditions warrant a nonurgent status for triage Correct Answer: - skin rash - strains/sprains - colds - simple fracture what is a primary survey that should be performed while triaging? Correct Answer: ABCDE what does ABCDE stand for in triaging patients Correct Answer: A: Airway/cervical spine B: Breathing C: Circulation D: Disability E: Exposure what does the "A" refer to in ABCDE Correct Answer: airway, cervical spine - patent airway - immobilize spine **do NOT move patient what does the "B" refer to in ABCDE Correct Answer: breathing - assess sounds - assess chest wall movement what does the "C" refer to in ABCDE Correct Answer: circulation - vitals (BP and pulse) - maintain vascular access - stop any bleeding what does the "D" refer to in ABCDE Correct Answer: disability *LOC what does the "E" refer to in ABCDE Correct Answer: exposure - get clothes off - use blankets to prevent hypothermia what is the one exception to ABCDE? Correct Answer: in excessive bleeding, you would prioritize "C" before "AB" what is a secondary survey? Correct Answer: comprehensive head to toe assessment if warranted during the secondary survey, what would a nurse likely do? Correct Answer: - insert NG tube - insert catheter - prep for diagnostics what does drowning lead to? Correct Answer: leads to loss of surfactant in lungs which causes alveolar collapse and pulmonary edema [Show More]

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