Chapter 4 Flashcards
You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?
Question 1 options:
A)
If there is no rigidity or distension of the abdomen, serious injury is unlikely.
B)
Unless the contusion is over a critical area, such as the spleen or liver, the likelihood of serious injury is minimal.
C)
A contusion to the abdomen should always increase your index of suspicion for underlying injury.
D)
The significance of the trauma is related to the amount of pain the patient experiences on palpation.
a contusion to the abdomen should always increase your index of suspicion for underlying injury
A nonpenetrating injury caused by blunt trauma that damages blood vessels, causing pain and discoloration, is a(n):
Question 2 options:
A)
ecchymosis.
B)
strain.
C)
contusion.
D)
abrasion.
contusion
You have responded for an injured person at an address you know to be a motorcycle clubhouse. Your patient was attacked by another party with a broken beer bottle. Your patient has a large laceration on her neck with moderate bleeding. Which property of your dressing material is most important in caring for this patient?
Question 3 options:
A)
Occlusive
B)
Adherent
C)
Sterile
D)
Absorbent
occlusive
The tough, fibrous sheaths that bundle skeletal muscle are called:
Question 4 options:
A)
tendons.
B)
fascia.
C)
fibers.
D)
sarcolemma.
fascia
Which of the following statements about crush injuries is most accurate?
Question 5 options:
A)
Only closed injuries can be classified as crush injuries.
B)
A spongy sensation on palpation of the injured area indicates crush injury.
C)
The actual source of bleeding in crush injuries may be hard to identify.
D)
Crush injuries are easily identifiable because they invariably result in deformity.
the actual source of bleeding in crush injuries may be hard to identify
Which of the following is best described as the accumulation of a pocket of blood in the tissues?
Question 6 options:
A)
Compartment syndrome
B)
Hematoma
C)
Abrasion
D)
Contusion
hematoma
The acute breakdown of muscle fibers in crushing injury is called:
Question 7 options:
A)
rouleaux formation.
B)
sarcoidosis.
C)
rhabdomyolysis.
D)
myoglobinemia.
rhabdomyolosis
When caring for an amputated part, which of the following principles apply?
1. Place the unwrapped part in a dry plastic bag, and seal it.
2. Place the part in a plastic bag with the part wrapped in gauze moistened with lactated Ringer’s solution or normal saline, and seal it.
3. Always transport the part with the patient.
4. Keep the part moist, and place it in a container of cold water.
5. Keep the part dry, and place it in an ice-filled container.
Question 8 options:
A)
2, 5
B)
2, 3, 4
C)
1, 3, 5
D)
2, 4
2,4
You arrive on the scene of a patient with severe blunt trauma to the face. You hear gurgling as you approach the patient. After opening the airway with a manual maneuver, what should your next action be?
Question 9 options:
A)
Apply a cervical collar
B)
Ventilate
C)
Control the source of hemorrhage
D)
Suction
suction
Which of the following are likely to accumulate in the bloodstream following a large crush injury?
Question 10 options:
A)
Myoglobin
B)
Potassium
C)
Lactic acid
D)
All of these
all of these
In which of the following ways does the integumentary system prevent pathogens from entering the body?
Question 11 options:
A)
By secreting chemotactic factors
B)
By providing a barrier to the environment
C)
Via humoral immunity
D)
Via cell-mediated immunity
by providing a barrier to the environment
In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?
Question 12 options:
A)
Avulsion
B)
Amputation
C)
Abrasion
D)
Laceration
avulsion
Your patient is a 35-year-old man who has his leg trapped under a section of concrete from an industrial accident. While awaiting removal of the concrete, which type of IV fluid is indicated for administration to this patient?
Question 13 options:
A)
Lactated Ringer’s
B)
Whole blood
C)
Normal saline
D)
Five percent dextrose in water
normal saline
The layer of skin that contains adipose tissue is the ________ layer.
Question 14 options:
A)
epidermal
B)
connective
C)
subcutaneous
D)
dermal
subcutaneous
Which of the following medications may be indicated in the treatment of a patient with a crush injury?
Question 15 options:
A)
Lactated Ringer’s
B)
Potassium chloride
C)
Sodium bicarbonate
D)
Furosemide
sodium bicarb
