If the patient is not adequately ventilating, respirations should be supported by.... Because of the risk of vomiting with this, a _____ _____ should be delivered to produce rise and fall of chest. What are 4 examples of life-threatening airway conditions? Then what? _______ sign is ecchymosis behind the ear and is a ____ sign of head injury. The practice questions you find here are similar to the EMT exam’s questions about trauma. Insertion o fa gastric tube provides for evacuation of stomach contents, relieves gastric distention, and prevents vagal stimulation. An adult male is complaining of right-sided flank pain after being assaulted 24 hours earlier. As CCP increases, CPP decreases, leading to cerebral ischemia and potential for hypoxia and lethal secondary insult. Connecting Computer Adaptive Testing to the EMT Exam, Getting and Maintaining an EMT Certification, 10 (Or So) Common Medical Abbreviations and Symbols for EMTs. It is indicated when other methods of airway management have failed and the patient cannot be adequately ventilated and oxygenated. Medications such as sedatives and neuromuscular blocking agents may be used to facilitate intubation. Examples include neurogenic shock (upper spinal cord injury) and septic shock. Central nervous system If patient is responsive, ask questions to evaluate LOC & pain. The patient has sustained a single blow to the head. does not adequately respond, consider a blood transfusion. Battle's sign is ecchymosis behind the ear and is a late sign of head injury. During the primary assessment, enough information may be collected that would indicate if a patient has such severe injuries that they may need to be transferred to another facility. If the disability assessment indicated a decreased LOC, conduct investigation during secondary focused assessment. Please select the correct language below. Pulses (central- coratid, femoral, brachial < 1 y). Examples include.. Distributive shock results from a disruption in the SNS control of the tone of blood vessels, which leads to vasodilation and maldistrubition of blood volume and flow. (B)apply gauze to the wound to stop bleeding. Jul. ______ _____ and _____ _______ _______ are considered late signs of considered late signs of breathing compromise. Reassess interventions such as occlusive dressings and chest tube drainage to determine amount and any change in drainage characteristics. plate are considered relative contraindications. Premium Login ; Pass the First Time with Premium; Free 2020 NCLEX Practice Questions. What is a contraindication to placing an NG tube? What are some examples? Maintaining oxygenation and preventing HYPERCAPNIA are critical in managing the trauma patient. A 19-year-old female was struck by a car in the street. True or False: Blind nasotracheal intubation is indicated when the patient is apneic or when there are signs of major midface fractures such as maxillary. True or False: Blood typing is the highest priority lab. (D)cover the wound with gauze, transport in a sitting position, and ask the patient not to cough. at the completion of the secondary assessment, depending on the degree of resuscitation required and availability of team members, 4 Techniques to open or clear an obstructed airway during primary assessment. If the airway is totally or partially obstructed, place the patient in ______ position. Trauma nurse interview questions & answers. Gastric distention may lead to vomiting, aspiration, or both. The patient has sustained a single blow to the head. If you need more job interview materials, you can reference them at the end of this post. A slightly elevated BP could protect against brain ischemia in a patient with a high ICP. remove any devices. You should. In distributive shock, autonomic sympathetic functions are lost, results in: Due to the metabolic state in the shock patient, the outcome is metabolic/respiratory alkalosis/acidosis, difference between systolic and diastolic, Describe the Color Coded Disaster Triage Categories, Using percussion to assess a patient in shock. There is a small wound to the right lateral side of his neck, with minor bleeding. PENETRATING wounds may cause disruption of the integrity of the airway, and BLUNT trauma may lead to injury of the larynx or other upper structures, causing partial or complete OBSTRUCTION. Find out how you can intelligently organize your Flashcards. (D)ventilate the patient with a bag-valve mask and high-flow oxygen. You have created 2 folders. Read each question carefully, and then select the answer choice that most correctly answers the question. When assessing chest tubes and artificial airways, monitor respiratory status. False. What are some signs of herniation or neurologic deterioration? A percutaneous transtracheal ventilation, or __________ may be performed as a _______ solution. She is coughing up blood and appears to be in respiratory distress. Although he may have suffered a head injury, there’s no sign of increasing intracranial pressure. He reports seeing blood when he urinates. When attempting to clear the airway, maintain cervical spine in a _____ position. visualization of tube passing through cords. Distention may stimulate the vagus nerve, which can lead to bradycardia. (C)cover the wound with a gloved hand or occlusive dressing. Check that they are placed properly and are not interfering with patient's ability to protect the airway. If the patient sustained significant trauma and required lifesaving interventions during primary assessment, perform (or have a team member perform) the following interventions before beginning secondary assessment: A urinary catheter provides for bladder drainage, allows for frequent monitoring of output, and is necessary for any patient preparing for surgery. Art Hsieh, MA, NREMT-P is a highly experienced paramedic, clinician, and educator, helping hundreds of students prepare for and pass the national examination process. Medications such as sedatives and ____________ blocking agents may be used to facilitate intubation. Add to folder[?] Monitoring Mr Brown’s pulse and blood pressure will give the nurse… Cram has partnered with the National Tutoring Association, Importance Of Medical Administration In Nursing, Patient Assessment: Defining Characteristics For A Left Client, The Importance Of An Accurate Diagnosis Ensures Proper Treatment, Nursing Assessment: Cardiovascular System Case Study. If domestic violence is suspected, ask appropriate questions while providing comfort and a sense of security. (C)ventilate with a bag-valve mask and oxygen. ________ shock is a syndrome that results from ineffective perfusion caused by inadequate contraction of cardiac muscle. The earlier the patient transfer is initiated, the quicker the patient can be transported to a center that can provide the most appropriate care. If pt. Explain the assessment of a patient's history in regard to Mechanism and Pattern of Injury. You note bruising to her lower abdomen, a hematoma to her left lateral head, and deformity to her right wrist. _________ing wounds may cause disruption of the integrity of the airway, and ______ trauma may lead to injury of the larynx or other upper structures, causing partial or complete _______. Which of the following suspected injuries best explains her presentation? It is best to deliver oxygen to an alert trauma patient via a tight-fitting nonrebreather mask. What are some examples of of comorbid factors? This method can be used with the bag-mask device to provide a good seal for ventilation. Reassess interventions such as occlusive dressings and chest tube drainage to determine amount and any change in drainage characteristics. (C)administer high-flow oxygen using a nonrebreather mask. Use ______ bags to increase speed of infusion. Introducing Cram Folders! The achievement of the expected outcomes is evaluated, and the treatment/intervention plan is adjusted to enhance these outcomes. The world needs more registered nurses. The types of medications used are determined by institutional protocols and the experience level of the personnel performing the procedure. C. She is exhibiting signs of decompensating shock with her poor skin, confusion, and a marginal blood pressure. If any life threatening conditions compromise circulation, stop and intervene before proceeding to NEUROLOGICAL assessment. In this post, you can reference some of the most common interview questions for a trauma nurse interview along with appropriate answer samples. Hear raspy sounds as he breathes ear and is a contraindication to placing an tube... Hypoxia, and a marginal blood pressure move all extremities maintain cervical spine battle 's sign is ecchymosis the... 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