Chapter 27: Emergency or Life-Threatening Situations

Chapter 27: Emergency or Life-Threatening Situations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. During initial ABCDE assessments of life-threatening conditions, D (disability) in neurologic status is assessed by the patient’s:

ANS:  B

The D (disability) in neurologic status of the primary assessment is assessed by determination of the patient’s degree of responsiveness to stimuli.

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 634

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort

2. You have gone by ambulance to a construction site where an adult male is lying on the street. The only information you have is that he fell three stories. His neck is immobilized with sacks of concrete mix on either side. Your first action should be to determine:

ANS:  A

On arriving at the site, the patency of the upper airway is the priority and should be managed before proceeding with further assessments.

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 633

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort

3. The ABCs of a primary survey would be interrupted to:

ANS:  B

The primary assessment is interrupted to manage a life-threatening condition as soon as it is detected. Once the condition is stabilized, the primary assessment is continued. Recording of events as they occur should be completed in a manner that does not interrupt continued care or transport. Reassessment of the patient’s temperature is inappropriate because it would interrupt the continued assessment process. Transporting the patient may begin after the primary assessment has been completed to determine the needs of the patient adequately.

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 635

OBJ:   Nursing process—implementing      MSC:  Safe and Effective Care: Management of Care

4. The term status epilepticus is defined as:

ANS:  C

Status epilepticus is characterized by seizures that are protracted and recurrent without recovery of consciousness and that can be prolonged for as long as 60 minutes.

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 644

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort