Chapter 28 Flashcards
During your primary assessment of a 19-year-old unconscious male who experienced severe head trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. You should:
A. assist his ventilations with a BVM.
B. pack his nostrils to stop the drainage of blood.
C. suction his oropharynx for up to 15 seconds.
D. immobilize his spine and transport immediately.
C. suction his oropharynx for up to 15 seconds.
Chapter 28, page 1001, Emergency Medical Care of Head Injuries
In contrast to a cerebral concussion, a cerebral contusion:
A. usually does not cause a loss of consciousness.
B. results from a laceration to the brain tissue.
C. does not cause pressure within the skull.
D. involves physical injury to the brain tissue.
D. involves physical injury to the brain tissue.
Chapter 28, pages 990–991, Head Injuries
A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?
A. 5
B. 3
C. 4
D. 2
B. 3
Chapter 28, page 998, Patient Assessment
What part of the nervous system controls the body’s voluntary activities?
A. Sensory
B. Somatic
C. Autonomic
D. Central
B. Somatic
Chapter 28, page 984, Anatomy and Physiology
The Glasgow Coma Scale (GCS) is used to assess:
A. verbal response, eye opening, and mental status.
B. eye opening, verbal response, and motor response.
C. sensory response, pupil reaction, and heart rate.
D. mental status, eye opening, and respiratory rate.
B. eye opening, verbal response, and motor response.
Chapter 28, page 997, Patient Assessment
Which of the following breathing patterns is MOST indicative of increased intracranial pressure?
A. Increased rate and depth with the distinct odor of acetone on the patient’s breath
B. Increased rate with a normal inspiratory time and a prolonged expiratory time
C. Irregular rate, pattern, and volume of breathing with intermittent periods of apnea
D. Slow, shallow, occasional gasps that progress to prolonged periods of apnea
C. Irregular rate, pattern, and volume of breathing with intermittent periods of apnea
Chapter 28, page 989, Head Injuries
Common signs and symptoms of a serious head injury include all of the following, EXCEPT:
A. CSF leakage from the ears.
B. decerebrate posturing.
C. a rapid, thready pulse.
D. widening pulse pressure.
C. a rapid, thready pulse.
Chapter 28, page 986, Head Injuries
The five sections of the spinal column, in descending order, are the:
A. thoracic, cervical, lumbar, coccygeal, and sacral.
B. coccygeal, sacral, lumbar, thoracic, and cervical.
C. cervical, coccygeal, thoracic, sacral, and lumbar.
D. cervical, thoracic, lumbar, sacral, and coccygeal.
D. cervical, thoracic, lumbar, sacral, and coccygeal.
Chapter 28, page 985, Anatomy and Physiology
A man jumped from the roof of his house and landed on his feet. He complains of pain to his heels, knees, and lower back. This mechanism of injury is an example of:
A. distraction.
B. hyperextension.
C. axial loading.
D. hyperflexion.
C. axial loading.
Chapter 28, page 992, Patient Assessment
When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining from his right ear. This indicates:
A. significant pressure and bleeding in between the skull and dura mater.
B. fractures to the internal structures of the ear following direct trauma.
C. rupture of the tympanic membrane following diffuse impact to the head.
D. a linear skull fracture and a significant increase in intracranial pressure.
C. rupture of the tympanic membrane following diffuse impact to the head.
Chapter 28, page 987, Head Injuries
