chapter 16 Reassessment Flashcards
You are treating a 15-year-old boy who apparently broke his right arm when he fell while skateboarding with his friends. You have completed your primary and secondary assessment including splinting his arm, but you found no other injuries or problems. Which of the following is the most important step to do during the reassessment?
Place the patient on oxygen via nasal cannula.
Check distal circulation on his right arm.
Visualize his chest for bruising.
Recheck his pupils.
Check distal circulation on his right arm.
As you arrive at the emergency department with an unresponsive trauma patient, the nurse asks for your trending assessment. Why is this information important to the nurse?
She can evaluate the quality of care you provided.
She can critique your technique of taking vital signs.
She can evaluate whether or not the patient is improving.
She can determine if you understand the assessment process.
She can evaluate whether or not the patient is improving.
You are transporting a victim of domestic violence, a 25-year-old female, who was struck on the head several times with a baseball bat. On the scene, she was responsive to verbal stimuli and was bleeding profusely from an open head wound. During transport, the patient becomes unresponsive. Which of the following should you do next? Detailed physical exam Primary assessment Secondary assessment Vital signs and SAMPLE history
primary assessment
You are alone in the back of the ambulance where you are ventilating an apneic patient. Which of the following is the best way to manage the reassessment?
Continue ventilating the patient during transport and skip the reassessment.
Have your partner stop the ambulance every 5 minutes to help you perform a reassessment.
Stay on the scene and request additional help so you will have someone to help you perform a reassessment.
Stop ventilating the patient every 5 minutes so you can perform a reassessment.
Continue ventilating the patient during transport and skip the reassessment.
While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next?
Continue the detailed physical assessment.
Start CPR.
Call medical control for orders.
Repeat the primary assessment.
repeat the primary assessment
On which of the following patients should a reassessment be performed? Patient having difficulty breathing All patients should be reassessed Patient with a gunshot wound Patient with chest pain
all patients should be reassessed
You are transporting a patient who has had her neck slashed from side to side. You and your partner are caring for the patient while a police officer drives you to the hospital, which is minutes away. You are focusing all of your efforts to maintain her airway and your partner is controlling her bleeding. Which of the following will you be unlikely to obtain? Reassessment results Patient's gender Pulse and respiratory rates Primary assessment
reassessment results
Your patient is an 18-year-old female whom you believe may have had a miscarriage and is bleeding heavily. You have completed your primary and secondary assessments and now you need to reassess her to see if the bleeding has stopped. You should:
take another set of vital signs to see if her blood pressure has
dropped.
in a reassuring tone, explain what you need to do.
wait and let the hospital staff reassess the bleeding.
ask her to check herself to see if she is still bleeding.
in a reassuring tone, explain what you need to do.
You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information such as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing. You should:
call the hospital and report the difficulty.
call for ALS backup.
get a quick set of vital signs.
immediately repeat your primary assessment.
immediately repeat your primary assessment.
Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles (rales), and you are concerned that she may have pulmonary edema. Her oxygen saturation is 92%, so you place her on 100% oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next?
Shake her to keep her awake.
Assist her with using her metered-dose inhaler.
Begin ventilating her with a bag-valve mask.
Ask your partner to pull over and wait for ALS backup.
Begin ventilating her with a bag-valve mask.
CORRECT. Your patient’s airway and breathing is your most important priority. Since her respiratory rate has dropped to 8 per minute, she will not be able to take in enough oxygen even with 100% oxygen via a nonrebreather mask. Instead, you should switch to assisted ventilations using a bag-valve mask.
What is the first step in the reassessment process? Primary assessment Focused history and physical exam Secondary assessment Vital signs
Primary assessment
Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical direction. After waiting a few minutes for the medication to take effect, you should:
administer another dose of nitroglycerin.
lay the head of the stretcher down.
call medical direction to administer another dose.
ask him what his pain is like now.
ask him what his pain is like now.
