Chapter 45: Care of Patients with Trauma or Shock

Chapter 45: Care of Patients with Trauma or Shock

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A diving accident occurs at the community pool and the victim is conscious and in pain. Which intervention is most appropriate pending the arrival of emergency medical personnel?

ANS:  C

Care should be taken to avoid movement of the patient and increasing injury to the spinal cord. Leaving the patient in the pool and supporting the patient on a float will not increase a possible spinal injury. Pulling the patient may cause further injury to the spine. CPR is not indicated as the patient is not experiencing cardiopulmonary arrest.

DIF:    Cognitive Level: Application           REF:   1019              OBJ:   2 (theory)

TOP:   Diving Injury: First Aid                   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

2. A drowning victim is brought to shore and is semiconscious and breathing. The most appropriate initial action of the camp counselor will require that the victim will be placed in what position?

ANS:  C

The patient who is breathing should be placed in the recovery position to allow the patient to vomit out water without danger of aspiration. CPR is not indicated as the patient is not experiencing the absence of cardiopulmonary activity. Lying supine or prone will not prevent aspiration in the event of vomiting.

DIF:    Cognitive Level: Comprehension     REF:   1019              OBJ:   2 (theory)

TOP:   Near-Drowning: Positioning            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

3. The nurse using the memory prompt for emergency care, ABCDE, is aware that the “E” stands for:

ANS:  D

The “E” stands for expose. This reminder is to assist the first responder to assess for other injuries that may be hidden under clothing.

DIF:    Cognitive Level: Comprehension     REF:   1022              OBJ:   2 (theory)

TOP:   ABCDE Memory Prompt: Definition

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

4. The nurse is teaching a CPR class. During the class the nurse correctly includes which statement when discussing the Good Samaritan Law?

ANS:  B

The Good Samaritan Law is designed to protect passersby who render first aid so they will not be held liable for the outcome of emergency care. Individuals who choose to render care will be held to the standard consistent with their training. The law is not limited to medical personnel. It does not address limitations of liability. There is no definition of specific scenarios protected by the law.

DIF:    Cognitive Level: Comprehension     REF:   1020              OBJ:   NA

TOP:   Good Samaritan Law: Provisions     KEY:  Nursing Process Step: NA

MSC:  NCLEX: NA

5. A victim of a knife fight is found lying in a parking lot with a loop of bowel protruding from an abdominal wound. The first responder should:

ANS:  C

Covering evisceration with a nonadhesive covering will keep the bowel moist. Attempts to return the bowel into the abdomen may result in further injury. Tightly wrapping the shirt around the body may compromise circulation. Flexion of the thighs onto the abdomen may compress and cause further damage to the bowel.

DIF:    Cognitive Level: Application           REF:   1025              OBJ:   2 (theory)

TOP:   Evisceration: First Aid                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential