week 3: primary, secondary & focused assessment

Question 1

Disability: AVPU

A__
r__ to V__ s__
r__ to P__ s__
U__ & U__

Answer 1

alert
responsive to verbal stimulus
responsive to painful stimulus
unconscious & unresponsive

Question 2

Breathing
Assess for e\_\_ r\_\_
- assess air entry to the l\_\_
- assess s\_\_ & m\_\_ m\_\_ c\_\_
- check c\_\_ w\_\_: m\_\_, e\_\_, s\_\_

Answer 2

effective respirations
lungs
skin & mucous membrane colour
chest wall movement, expansion, symmetry

Question 3

Send for help if you cannot elicit a r__ OR there is d__

Answer 3

response OR there is danger

Question 4

Disability:
assessment of (C\_\_) function

what are the 2 acronyms for disability?

Answer 4

CNS

AVPU
PEARL

Question 5

when is a primary assessment performed?

s__ after the person is a__ to a h__ s__

or

when you f__ e__ their r__

Answer 5

shortly, admitted, healthcare service

first enter their room

Question 6

Airway & c-spine

ensure airway is p__
- perform a h__ t__ & c__ l__ m__ to open airways

assess for airway c__

Use a j__-t__ m__ if you suspect a spinal injury

Answer 6

patent
head tilt & chin lift manoeuvre

compromise

jaw-thrust manoeuvre

Question 7

Circulation:
check for signs of i\_\_ c\_\_ c\_\_
- assess c\_\_ pulses
- assess pulse r\_\_ & q\_\_
- assess skin c\_\_ & w\_\_
- assess c\_\_ r\_\_
- assess/manage internal & external h\_\_
- a\_\_ to hear the \_\_ & \_\_ h\_\_ s\_\_

Answer 7

impending cardiovascular collapse
central
rate & quality
colour & warmth
capillary refill
haemorrhage
auscultate, S1 & S2 heart sounds

Question 8

what acronym is used for a primary assessment?

Answer 8

DRS ABCDE

Question 9

Primary assessment:

D__
R__
S__ for h__

A\_\_ & c-s\_\_
B\_\_
C\_\_
D\_\_
E\_\_ & E\_\_

Answer 9

danger
response
send for help

airway & c-spine
breathing
circulation
disability
exposure & environment

Question 10

Disability: PEARL

check p__ r__ & c__ r__

Answer 10

pupil response & consensual reaction

Question 11

a primary assessment:

is r__ & used to identify l__ t__ conditions, to allow for p__ m__

enables care to be p__

helps recognise when m__ s__ nursing & medical help is required

Answer 11

rapid, life threatening, prompt management

prioritised

more senior

Question 12

Disability:

limb assessment for s__ & s__

ask about p__

check for r__ causes of r__ c__

Answer 12

strength & sensation
pain
reversible causes of reduced consciousness

Question 13

Exposure & environment

remove c__ to e__ patient as r__

• maintain b__ t__
• assess for signs of i__, t__ or i__

ensure e__ e__ is available at b__

Answer 13

remove clothing to expose patient as required
body temperature
assess for signs of injury, trauma or illness

ensure emergency equipment is available at bedspace

Question 14

Primary assessment:

i__ > c__ > r__-a__

Answer 14

identify > correct > re-assess