NUR 2755 / NUR2755 Final Exam: Multidimensional Care IV / MDC 4 Final Exam, Answered

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NUR 2755 / NUR2755 Final Exam: Multidimensional Care IV / MDC 4 Final Exam, Answered-A nurse must perform a primary survey on a patient while at the scene of a house fire. What elements does this incl... ude? - Airway, breathing, circulation, disability, exposure (ABCDE) What is the first action done to a patient during the primary survey? - Ensure patient has a patent airway EMS is trying to assess a patient in a car accident. The patient has an unknown SCI. What type of maneuver can be used to open the patients airway without causing additional spinal cord harm? - Jaw Thrust EMS is trying to assess a patient who swallowed a bottle lid at a home. They are not breathing and does not have an SCI or neck injury . What type of maneuver can be used to open the patients airway? - Head tilt chin lift A patient has an open airway by using intubation at the site of a car accident. What is the next step EMS must do when completing a primary survey? - Assess the patients breathing efforts and lung sounds. A patient at a car accident is now transferred into the back of the ambulance. An airway and breathing rate has been established, but the patient reports belly pain. What must the EMS person assess and do next? - Circulation- start an IV with fluids as the patient may be bleeding EMS is called due to a worker reporting that he saw a coworker just get his arm chopped off while working at a factory and is bleeding badly. What order must the EMS worker assess this patient according to the primary survey? - Circulation first- because patient is massively bleeding, then airway and breathing. (CAB) A home health nurse is assessing an elderly gentleman who needs assistance with medications. The nurse notices the patient is not acting like himself. An airway is established and breathing as well as no bleeding and with stable vital signs. What is the next part of the primary survey the nurse has to assess for? - Disability with the GCS A teen who was riding a bike suddenly fell off and hurt his leg. His airway is open, he is breathing fast without any bleeding, and he is able to talk to the EMS person and is aware of the situation. What is the next step the EMS person must assess for when completing the primary survey? - Expose the patient by cutting off clothing and removing articles to assess for injury. A patient with dehydration has been fully stabilized while at the hospital. What are some elements of the secondary survey the nurse may assess or do with the patient? - Head to toe assessment, place foley, diagnostics, obtain health history from the spouse. A patient comes into the ER with their chest rising asymmetrically. Further investigation shows a deviated trachea towards the right lung and diminished breath sounds on the left lung. What might the patient have? - Pneumothorax A provider tells the nurse the patient has a tension pneumothorax. What procedure should the nurse anticipate the patient will have to go through? - Needle decompression thoracotomy A provider tells the nurse the patient has a simple pneumothorax. What procedure should the nurse anticipate the patient will have to go through? - Chest tube placement A nurse notices a patient with paradoxical chest movement is being wheeled back to the trauma bay. What might this patient have? - Flail chest The patient with flail chest is being stabilized quickly. What interventions might the ER doctor want to use with this patient? - Intubation on a ventilator and PEEP A patient has been recently diagnosed with sepsis and aspiration pneumonia from a recent seizure. What condition is the patient at risk for developing? - ARDS and alveolar collapse An older adult has been diagnosed with ARDS after having a near drowning episode at the pool. What interventions does the nurse predict that will be ordered? - Placing patient prone and PEEP A ICU nurse is learning about the complications of PEEP. What are these complications? - Pneumothorax and Hypotension A client reports to the urgent care with a red and swollen rash on his face. He states that he was shoving snow for his wife to get out of the drive way, but he had forgotten to wear his scarf. What stage of frostbite does the patient have? - Stage 1 A patient reports to the ER after being out in the cold watching his children play without mittens on. Inspection shows areas that are blistered and white colored. What stage of frostbite is the patient in? - Stage 2 A patient is rushed in with EMS saying that he was found outside in the cold with an ALOC. He has blisters that are dark red on his arms. What stage of frostbite is the patient in? - Stage 3 A patient is found in the mountains with blackened toes and no shoes on. It is snowing outside and the bystander doesn't know how long he has been there. What stage of frostbite is the patient in? - Stage 4 [Show More]

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