Emergency Nursing Flashcards

1
Q

Process for assessing patient and deciding how they will be treated.

A

Triage.

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2
Q

How will the Good Samaritan Law protect you?

A

Act prudently in handling practical matters, work within your scope of practice.

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3
Q

First priority in assessing a patient.

A

Airway, ABC’s, triage.

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4
Q

CPR initiated at scene of accident before paramedics arrive. Only time allowed to terminate when.

A

The paramedics arrive, second person on scene to assist you, medical doctor declares the person deceased, successful resuscitation, do not stop because it is futile (not in our scope of practice).

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5
Q

Where do you check the pulse on an adult when doing an initial CBA assessment?

A

The carotid artery, using two fingers with light pressure.

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6
Q

Positioning of an unconscious patient.

A

Lateral.

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7
Q

Type of shock with hypotension, tachycardia, normal respirations.

A

Hypovolemic shock.

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8
Q

Compensatory mechanism for hypovolemic shock with hypotension.

A

Tachycardia.

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9
Q

Appropriate actions for forearm injury hemorrhage with no other trauma.

A

Elevate the arm above the heart.

Apply enough pressure to stop bleeding but not circulation.

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10
Q

Appropriate actions for arterial wound below the popliteal artery with no fracture.

A

Indirect pressure at the popliteal artery.

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11
Q

Appropriate nursing intervention for bright red spurting blood from forearm laceration after indirect pressure to wound and arm elevation failed to control bleed.

A

Indirect pressure to the brachial artery.

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12
Q

Pressure type appropriate for scalp wound.

A

Direct pressure.

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13
Q

After applying a tourniquet, what do you not do?

A

Do not remove it.

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14
Q

Term to define foul smelling, black, tarry stool resulting from abdominal trauma.

A

Melena.

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15
Q

Immediate nursing action for laceration to thigh.

A

Clean with soap and water.

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16
Q

Nursing action for chest knife puncture wound with blade in place.

A

Stabilize, do not remove.

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17
Q

Management of sucking chest wound.

A

Occlusive dressing.

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18
Q

Critical action for lower extremity bandaging.

A

Leave toes open to assess circulatory status.

19
Q

Nursing action for poison ingestion.

A

Call poison control.

20
Q

Symptom requiring immediate assistance from bee sting.

A

Airway occlusion caused by edema of the mouth, face, or tongue.

21
Q

What sign would make you stop current heat stroke therapy?

A

Shivering.

22
Q

Nursing intervention for frostbite.

A

Warm extremity with warm/tepid water.

23
Q

Nursing action for dislocated arm resulting from a slip and fall.

A

Immobilize/splint the arm.

24
Q

Nursing action for head trauma presenting with shock symptoms.

A

Place on their back, supine.

25
Q

What would indicate a deep, partial thickness burn.

A

Blisters and erythema.

26
Q

Immediate action to relieve a burn.

A

If first on scene, cool with water.

27
Q

Crepitus.

A

Bone on bone rubbing or friction.

28
Q

RICE.

A

Rest.

Ice.

Compression.

Elevation.

29
Q

Clinical signs of pneumothorax.

A

One side will not expand on inspiration.

30
Q

Type of wound most difficult to heal and prone to infection.

A

Puncture.

31
Q

Percent of burn for entire Left Arm.

A

9%

32
Q

CPR ratio.

A

30: 2 - adults.
15: 1 - children.

33
Q

ER admittance with EtOH, combative, abrasion, headache, and confused.

A

Assess vital signs.

Notify physician.

34
Q

Type of shock from long term UTI, indwelling foley cath, on antibiotics.

A

Septic shock.

35
Q

Newest potential environmental health threat.

A

Bioterrorism.

36
Q

Nursing action for hot coffee on arm, developing erythema and blisters.

A

Cool compress.

37
Q

Positioning for blow to the head displaying shock symptoms.

A

Laying down.

38
Q

Drunk, drowsy, with muscle twitching. Twitching indicates seizure. Nursing actions.

A

Allow twitching.

Remove dangerous surroundings.

Side laying.

39
Q

Correct steps for CPR in field:

A

Call EMS.

Compressions.

Pulse.

Ask.

40
Q

Maximum Tylenol dosage.

A

4,000 mg/day

41
Q

Compression rate for CPR on child.

A

100 compressions/minute

42
Q

Steps for CPR emergency in hospital:

A

Call code.

Pulse.

Ask.

Compressions.

43
Q

Nursing priority after AED.

A

Check airway.

44
Q

Priority for suicide with glass and profuse bleeding.

A

Bleeding, use direct pressure.