Emergency Nursing

Question 1

Primary Survey

Answer 1

A-alertness
B-breathing
C-circulation
D-disability
E-exposure and environment
F-facilitate adjuncts & family
G-get resuscitation adjuncts

Question 2

Secondary Survey

Answer 2

Head, neck, face
Chest
Abdomen and flanks
Extremities
Inspect posterior surfaces

Question 3

If patient comes in unconscious?

Answer 3

CAB

Circulation - check for pulse then continue

Question 4

Heatstroke

Answer 4

cannot control temperature

medical emergency

Question 5

Heatstroke manifestations

Answer 5

core temp rises within 10-15 min above 105
hot dry skin
altered mental status - confusion
hypotension
tachycardia and tachypnea

Question 6

Heatstroke tx

Answer 6

Stabilize ABCs
rapidly lower core temp
monitor for dysrhythmias
Administer O2

Question 7

Frostbite

Answer 7

Tissue freezing and leads to ice crystals in tissues and cells

Question 8

Frostbite manifestations

Answer 8

Skins appears waxy pale yellow to blue
feels crunchy and frozen
tingling, numbness, or burning

Question 9

Hypothermia

Answer 9

Core temp lower than 95

Question 10

Acids & Alkali

Answer 10

immediate dilution (water and milk)
induced vomiting contraindicated
gastric lavage within 1 hr of ingestion

Question 11

Bleaches

Answer 11

same as acids

Question 12

NSAIDs

Answer 12

activated charcoal
gastric lavage
supportive care

Question 13

ESI 1

Answer 13

unstable

cardiac arrest, intubated trauma, overdose with bradypnea, severe resp distress

Question 14

ESI 2

Answer 14

threatened

chest pain from ischemia, multiple trauma unless responsive

Question 15

ESI 3

Answer 15

stable

abd pain, gynecologic disorder unless in severe distress, hip fx in older pt

Question 16

ESI 4

Answer 16

stable

closed extremity trauma, simple laceration, cystitis

Question 17

ESI 5

Answer 17

stable

cold symptoms, minor burn, recheck wound, script refill