C What are the primary benefits of a team approach to trauma care - answerit provides a systemic approach to care and organizes care A In the primary survey AVPU is performed to determine if the patient can: - answerProtect their aiway B WHich may lead to unreliable pulse ox reading - answercarboxyhemoglobin A The systemic inflammatory response is a normal part of the body's response to shock from traumatic injury. what best describes this response - answerit is activated by tissue hypoxia and sends neutrophils to injury site A what is an early assessment finding to increased ICP in pt with a brain injury - answervomiting A an unrestrained driver was involved in a frontal collision without airbag deployment. he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled heart tones the nurse prepare for what - answerpericardiocentesis D An unrestrained driver is brought into the emergency department following a frontal impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury - answerLumbar fx B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result to significant damage to muslces the priority asessment for trauma nruse is for - answermyoglobinemia nd renal failure A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and gravel. which of the following intervention is indicated - answerus copious amounts of NS A when providing care for the pedicatric pt with burns the post resuscitation care, how are fluids delivered - answerparkland formula with maintainence fluidss B thinning skin and diminished autonomic response in older adult can have what effect on primary assessment - answercompromised thermoregulation A in mass casualty "doing the greatest good for the greatest number of people refers to a situation where - answerthere may be more patients than resources C effective pain management in hte pt iwth rib fxwill promote what - answercough with ability to clear secretions Bduring the primary survery which of the following has the greatest priority - answercervical spine injury D restrained driver is involved in a severe head on MVC and presnts with a seatbelt mark along the neck and upper chest area. bilateral decreased breath sounds, hemoptysis and diffuse sub q emphysemato the neck and upper chest area - answertracheobronchial injury B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary dilation and abnormal motor posturing. what does the nurse suspect as the most likely cause - answerherniation syndrome B which of the following hemodynamic support strategies is the prioririty intervention for a pt with traumatic pulmonary contusion - answerjudicios use of IV fluids B the unrestrained fron seat passenger in a MVC develops echymosis around umbillicus. this assessment finding is most commonly associated with: - answerbleeding in the peritoneal cavity D elevated comaprtment pressure can be the result of - answerhemorrhage from within the muscle A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red vaginal bleeding. she reports constant back pain which is increasing. the most likely cause of s/s is - answerplacental abruption A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to place - answerNG tube A identification of vulnerabilities is an example of what phase of disaster management - answermitigation A which of the following structures would be hte most affected by teh concept of caviation - answerLiver B the most common cause of shock in the trauma pt is - answerloss of circ volume B a pt with injury to the middle meningeal artery is at risk for which of the following - answerepidural hematoma C what organ might be injured in left lower rib fx - answerspleen D pt with amputation of an index finger with a knife. amputaiton is brought in with pt. it is wrapped in sterile gauze with saline and sealed in a plastic bag. the next step amputation care is - answerplace the bag on ice D which physiological change in airway of an odler adult pt places the pt at risk for difficult intubation - answercervical arthritis Cthe term worried well when refering to disaster preparedness planning refers to: - answerindividuals hwo think they have been affected by the event but are asymptomatic C which of the following would be priority intervention for a pt with multiple rib fractures and chest wall instability follwoing a mvc collision - answerassist with endotracheal intubation A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she is alert and answering qestions and crying what is the best method for initial pain assessment for this pt - answerself report scale