Emergency nursing

Question 1

Nurses in the ED have a lot of autonomy due to….

Answer 1

good critical thinking skills

Question 2

What is the number 1 priority Emergency measure for ALL patients?

Answer 2

–SAFETY

Question 3

Why is preplanning used in Emergency measures?

Answer 3

ensures security and safe environment for everyone

Question 4

Why should the nurse closely monitor the patient and family members?

Answer 4

everyone reacts differently to stress, they may become violent.

Question 5

What are some patient and family focused interventions?

Answer 5

• -Relieve anxiety
• -Allow family to stay with pt.
• -Explain and inform pt. of all care given

Question 6

Triage means to….

Answer 6

sort

Question 7

How does triage work in the ED?

Answer 7

The most critically ill receives the most resources and care first, regardless of potential outcome

Question 8

What does a triage nurse do?

Answer 8

collects data and classifies illnesses and injuries

Question 9

When discharging a patient home the nurse must…

Answer 9

give verbal and written instructions and document verbal and written instructions given.

Question 10

A primary survey is always done, especially if they are a trauma patient. What is the order of the primary survey?

Answer 10

“ABCDE”

• -Airway (patent?)
• -Breathing (ventilation?)
• -Circulation (restore CO–>prevent/treat shock)
• -Disability (neuro)
• -Exposure

Question 11

When assessing disability with the primary survey. what acronym should the nurse use?

Answer 11

“AVPU”

• -Alert?
• -Verbal (respond to verbal stimuli?)
• -Pain (respond to painful stimuli?)
• -Unresponsive

Question 12

What should the nurse do to perform the exposure part of the primary survey?

Answer 12

• -undress pt. quickly (expose skin)
• -Inspect, percuss, auscultate, palpate
• -skin color?
• -Unusual skin markings?
• -Body odors?

Question 13

What is the secondary survey used for?

Answer 13

The nurse identifies other non life-threatening problems.

Question 14

The secondary survey includes….

Answer 14

• -health history
• -head to toe assessment
• -diagnostics/labs
• -monitoring devices
• -splinting
• -wound care
• -comfort care, support

Question 15

What acronym should be used when assessing pain?

Answer 15

PQRST

Question 16

What does PQRST stand for?

Answer 16

• -Provokes (what causes/provokes pain?)
• -Quality (sharp, dull, aching, throbbing)
• -Region/radiation (where? does it radiate?)
• -Severity (rate scale 1-10)
• -Timing (how long had pain? constant?)

Question 17

What are some ways to manage an airway?

Answer 17

• -Oropharyngeal/nasopharyngeal airway insertion
• -endotracheal intubation
• -King tube, laryngeal mask
• -Cricothyroidotomy
• -ventilation (bag valve mask, c-pap, bi-pap)

Question 18

How can hypovolemic shock be prevented?

Answer 18

manage hemorrhage

Question 19

Wounds is another priority emergency measure. What should the nurse consider?

Answer 19

• -control bleeding

- -prevent contamination/infection