Ch 22: Caring for Chest and Abdominal Emergencies

Question 1

Which position is favored for a patient who is suspected of having fractured ribs?

a. Lying flat with arms above head
b. Sitting forward with arms by side
C. Fetal position with arms against ribs
D. Position of comfort

Answer 1

D. Position of comfort

Question 2

The type of breathing that may be observed with a patient who has a flail chest, with one side of the chest rising while the other fails, is called:

a. tension movement.
b. retrograde breathing.
c. paradoxical movement.
d. agonal breathing

Answer 2

c. paradoxical movement.

Question 3

A late sign of a tension pneumothorax is:
a. increased work to breathe.
b. an increased heart rate.
c. tracheal deviation.
d. pain while breathing.

Answer 3

c. tracheal deviation.

Question 4

What is the general recommendation for a patient who has suffered an evisceration to the abdomen?

a. Cover the organs with a moist sterile dressing and plastic
b. Cover the organs with a dry sterile dressing, then an occlusive dressing
c. Cover the organs with a dry sterile dressing, then a dressing that air can pass through
d. Do not cover the protruding organs

Answer 4

a. Cover the organs with a moist sterile dressing and plastic

Question 5

When the abdominal cavity fills up with blood, such as seen with-a puncture wound, the belly will bulge, a condition known as:

a. peritoneal protrusion
b. abdominal distension
c. colon catastrophe.
d. cavityextension

Answer 5

b. abdominal distension

Question 6

In the condition known as a _______ , air works its way in between the chest wall and the lung, causing the lung to collapse.

a. flail chest
b. thoracic decompression
c pneumothorax
d. negative pressure syndrome

Answer 6

c pneumothorax

Question 7

Which type of dressing should be applied to an open chest wound?

a. Porous
b. Occlusive
c. Absorbent
d. Form-fitting

Answer 7

b. Occlusive

Question 8

In a life-threatening condition known as a ______ , a pneumothrax puts pressure on the heart and great vessels of the chest, causing profound shock.

a. hemothorax
b. tension pneumothorax
c. spontaneous pneumothorax
d. paradoxical pneumothorax

Answer 8

b. tension pneumothorax

Question 9

The grating sound of bone ends rubbing together is called:

a. rubbing.
b. stridulous.
c. scour.
d. crepitus

Answer 9

d. crepitus

Question 10

A person has sets of ribs that give structure and form to the chest wall. A. 12
B. 16
C. 20
D. 24

Answer 10

A. 12