Exam 3 Practice Flashcards
Select all of the following that are signs or symptoms of late shock
Pulse weak
Tachypnea
Mid level of consciousness
BP remaining stagnate
Feeling of doom
Pulse fast
BP dropping
BP dropping
Pulse weak
Feeling of doom
Your patient has an open and deep abdominal wound with some organ sticking out, care for this patient would include:
A dry sterile dressing, NC @6LMP, extend patient’s hip and knees to decrease tension
A wet sterile dressing, NR @10-15LPM, allow patient to extend abdominal muscles to decrease tension on abdomen
A wet sterile dressing, NR @10-15LPM, allow patient to flex abdominal muscles to decrease tension on abdomen
Pull patient’s skin over organs, NR @10-15LPM, allow patient to flex abdominal muscles to decrease tension on abdomen
A wet sterile dressing, NR @10-15LPM, allow patient to flex abdominal muscles to decrease tension on abdomen
Hypothermia and hypo-profusion are both systemic complications?
True
False
True
A strain is damage to a
tendon
How many attempts do you get to realign a dislocation if a distal pulse is present?
0
You look behind your patient’s ears and see this:
Select all of the following that is true regarding the above
The bruising is another name for cerebral edema
This is a sign of a basilar skull fracture
Sign of an orbital fracture
Likely a traumatic MOI
Not clear evidence for a significant MOI
This is a sign of a basilar skull fracture
Likely a traumatic MOI
- Numbness down the left and right arm
- Nausea/Vomiting
- Not able to maintain balance
- Paralysis of the left leg
- Uneven pupils
Which of the following are signs of a spinal cord injury
None is correct
3,4,5
1,4,5
1,4
2,5
1,3,4
Numbness down the left and right arm, Paralysis of the left leg
Your patient has bubbles forming around a chest wound with every breath, which of the following is true regarding the management of this patient:
This patient will need a flutter value, and rapid transport to the nearest appropriate facility
This patient will need a needle depression which can only be done by ALS.
A gloved hand is the fastest occlusive dressing. You will need to keep your gloved hand over the wound during the transport.
This patient will need a flutter value, and rapid transport to the nearest facility
This patient will need a flutter value, and rapid transport to the nearest facility
Put in the correct order the management of a bleeding wound
Raise the extremity
Apply pressure
Tournique
Pressure to an artery
Raise the extremity 2
Apply pressure 1
Tournique 4
Pressure to an artery 3
1 palm is equal to % BSA, on the abdomen that is equal to % blood loss. All abdominal injuries generally will receive high flow oxygen (true/false)
1%, 10%, true
becks triad
sign of cardiac tamanode, JVD, muffled heart sound, narrowing pulse pressure
CHF
systemic edema, SOB, puffy ankles
Pneumothorax
collapsed lung air in the chest cavity, tracheal deviation, SOB, JVD
In amputations do you put the amputated part in dry or moist dressings?
Dry
Cushing triad
ICP, high bp, low hr, widening pulse pressure
The concussion on the brain is on the (opposite side/same side) of the injury on the skull. This is called
Opposite, contra-coop
Your patient is showing signs of ICP. Your patient is also breathing at 26 times per minute with an O2 at 94%, with an alert level of consciousness. What are you going to do for your patient for their breathing?
NC @ 1-6LMP
NRB @ 10-15LMP
Nothing
You will coach their breathing
Positive Pressure Ventilation
Nothing
Which of the following are shockable rhythms?
V-Fib
V-Tach
Pulseless V-Tach
Asystole
Angina
V-Fib
V-Tach
Pulseless V-Tach
In a case of a major MOI, what is the best initial course of action?
Remove all the clothes to assess injury
Give high flow oxygen
Give low flow oxygen
Transport
Remove all the clothes to assess injury
A fracture of the hip is treated or shoulder should be left in…
The position of function
As medial as the patient will allow
A position that aligns the joint
Let it hang, do not put it into any position
The position of function
Which of the following make a burn more severe?
Diabetic patient
Sun burn with 78% BSA
Patient with COPD
A 56 year old man was burned
6 year old child was burned
Diabetic patient
Sun burn with 78% BSA
Patient with COPD
A 56 year old man was burned
Which of the meninges hold the CSF?
Cerebral Tissue
Pia Mater
Dura Mater
Arachnoid space
Arachnoid space
Select all of the following that is true regarding rewarming burns:
Messaging the extremity can damage it further
If the extremity refreezes it will not cause more damage
You must rewarm at 90-100 degrees F
You must rewarm at about 110 degrees
Messaging the extremity can damage it further
You must rewarm at about 110 degrees
In treatment for an infant, what is the least treatment used?
Attempting to stimulate the baby
Oxygen
Chest compressions
Medicinal treatment
Medicinal treatment
Any time after you give a drug, you should always do what…
Reassess ABC’s
Take another set of vital signs
Repeat baseline vitals
Repeat the order
Take another set of vital signs
Sprain
damage to ligament
Strain
damage to tendon
Compound fracture
open fracture
tendon
muscle to bone
Explain the difference between the sympathetic and parasympathetic nervous systems. If you give a drug that stimulates the parasympathetic system, how would your patient present?
The sympathetic nervous system is the “fight or flight” response of the body, it causes heart rate, respiration, and blood pressure to go up.
The parasympathetic system is the “feed or breed” response of the body, it causes heart rate, blood pressure, and respiration to go down.
If a patient has a fractured femur and pelvis, are they guaranteed to lose blood? Why does blood loss occur with these injuries?
not guaranteed
Blood loss can occur because the femoral artery runs right next to the femur and pelvis, and when these bones break it can tear the vessel and cause major bleeding
How would you manage a chemical burn with a powder
Brush off as much of the powder as possible.
Flush for at least 20 minutes
Describe and order the stages of a car crash. Which stage doesn’t always happen?
Car hits object
Skeletal system hits car
Organs hit skelatal
Objects in car hit person (doesn’t always happen)
