Bleeding, Soft tissue wounds, and shock management Flashcards
Which of the following statements describes arterial bleeding?
a. Bright red blood spurting from a laceration
b. Darker red blood flowing from a laceration
c. Dark red blood oozing from abrasions
d. Clotted blood in a wound
a. Bright red blood spurting from a laceration
Which of the following statements describes venous bleeding?
a. Bright red blood spurting from a laceration
b. Darker red blood flowing from a laceration
c. Dark red blood oozing from abrasions
d. Clotted blood in a wound
b. Darker red blood flowing from a laceration
Your patient is a 7-year-old child who was hit on the head with a baseball. He has a
wound on his left forehead that is bleeding profusely. Which of the following describes
the first action you should take?
a. Clean the wound and apply a dressing.
b. Apply direct pressure to the area.
c. Rinse the area with sterile water.
d. Apply pressure to the pressure points.
b. Apply direct pressure to the area.
You are caring for a patient with a large laceration to his foot. A dressing is in place, but
it is soaked with blood. Which of the following describes the correct action to take?
a. Remove the dressing and apply another in its place.
b. Apply pressure to the dressing.
c. Apply an additional dressing on top and then apply pressure.
d. Apply a tourniquet.
c. Apply an additional dressing on top and then apply pressure.
Your patient was the driver of a motorcycle that crashed as he was leaving a party. He had
been drinking and was obviously intoxicated according to witnesses. He is lying on his
side mumbling that his leg hurts. His skin is cool, pale, and moist. He has a small
laceration to his lower leg and some abrasions to his arms. He is breathing 36 times per
minute and his heart rate is 136. His radial pulse is weak. Which of the following do you
suspect?
a. The patient is drunk and his wounds are minor.
b. The patient may be going into shock from the injuries to his arms and leg.
c. The patient may be going into shock from internal bleeding.
d. The patient is stable, and you should control the bleeding from his arms and leg.
c. The patient may be going into shock from internal bleeding.
Which of the following are considered signs and symptoms of internal bleeding?
a. Slow pulse, warm dry skin
b. Slow breathing, slow pulse, cool dry skin
c. Fast breathing, fast pulse, warm dry skin
d. Fast breathing, fast pulse, cool moist skin
d. Fast breathing, fast pulse, cool moist skin
Your patient is a 22-year-old male who fell 20 feet while rock climbing. He is complaining of abdominal pain and has a fractured left arm. He is cool, pale, and sweaty.
He is breathing 24 times per minute and his radial pulse is 118 and weak. Care for the patient would include which of the following?
a. Low concentration oxygen and splinting his arm
b. Spinal stabilization, high concentration oxygen via nonrebreather mask, keeping the
patient warm, and stablizing the arm
c. Spinal stabilization and low concentration oxygen
d. Low concentration oxygen, keeping the patient warm, and reassuring him
b. Spinal stabilization, high concentration oxygen via nonrebreather mask, keeping the
patient warm, and stablizing the arm
You respond to a child who fell from a slide. He has an obviously deformed forearm and
has scrapes on his hands and knees that are oozing a small amount of blood. The scrapes
are referred to as ____.
a. Abrasions
b. Contusions
c. Lacerations
d. Avulsions
a. Abrasions
A factory worker has caught his arm in a piece of machinery. A large flap of tissue is
hanging loose on his upper arm. The flap of tissue is referred to as a(n) ____.
a. Abrasion
b. Avulsion
c. Amputation
d. Laceration
b. Avulsion
Your patient has a gunshot wound to the chest. Which of the following dressings would
be most appropriate?
a. Gauze with direct pressure
b. Occlusive dressing with direct pressure
c. Thick, moist dressing
d. Occlusive dressing with an opening to let the air escape
d. Occlusive dressing with an opening to let the air escape
You respond to a restaurant fire. The cook has been burned by a grease fire. She has
blistered burns to her hands, forearms, and chest. These burns would be considered ____.
a. noncritical burns and require application of a dry sterile dressing
b. critical burns and require application of a dry sterile dressing
c. critical burns and require breaking of the blisters and application of a moist dressing
d. noncritical burns and require application of moist sterile dressings
b. critical burns and require application of a dry sterile dressing
Which of the following actions should you take for a chemical burn patient?
a. Chemical burns occur only as a result of skin contact, so eye protection and gloves
should be adequate for chemical burn scenes.
b. Dry powder should be flushed with water immediately to remove the chemical.
c. Cover the burns with sterile saline-soaked dressings as soon as you arrive.
d. Flush the patient’s eyes with copious amounts of water for at least 20 minutes.
d. Flush the patient’s eyes with copious amounts of water for at least 20 minutes.
Which of the following statements is FALSE?
a. One of the most important priorities in electrical burns is scene safety.
b. Electrical burns may cause an irregular heart beat, so an AED may be necessary.
c. Electrical burns often follow the body’s nerves and blood vessels.
d. The patient’s internal injuries are often much less severe than the external injuries.
d. The patient’s internal injuries are often much less severe than the external injuries.
Which of the following statements is TRUE?
a. Roller gauze is an example of a dressing.
b. Bandages are held in place by dressings.
c. Tape and triangular bandages are secure types of dressings.
d. A dressing is a protective or supporting covering placed on an injured part.
d. A dressing is a protective or supporting covering placed on an injured part.
Your patient is a 3-year-old child who pulled a hot cup of coffee off a table onto herself. She has superficial and partial thickness burns to her right thigh and lower leg. Priorities for this patient include which of the following?
a. Managing her airway as it may close off from the swelling.
b. Keeping her warm as burns can contribute to hypothermia in children.
c. Dressing the wound with moist sterile dressings.
d. Notifying police as most childhood burns are the result of child abuse.
b. Keeping her warm as burns can contribute to hypothermia in children.
