The patient you are caring for is a victim of a motor vehicle accident and has closed chest trauma. As you assess your patient, you notice that he has diminished breath sounds. Your patient is most likely experiencing a:
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a. fat embolus. |
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b. hemothorax. |
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c. pneumothorax. |
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d. spinal cord injury. |
T he patient you are caring for is a victim of a motor vehicle accident and has closed chest trauma. As you assess your patient, you notice that he has diminished breath sounds. Your patient is most likely experiencing a:
d. spinal cord injury (As the diminished breath sounds a respiratory dysfunction happens due to spinal cord injury (SCI)
The patient you are caring for is a victim of a motor vehicle accident and has...
G.S., a 36-year-old secretary, was involved in a motor vehicle accident where a car drifted left of the center line and struck her head-on, pinning her behind the steering wheel. She was intubated and injuries were extensive: bilateral flail chest, torn innominate artery, right hemothorax and pneumothorax, fractured spleen, multiple small liver lacerations, compound fractures of both legs, and probable cardiac contusion. She was taken to the operating room for repair of her injuries. G.S. was admitted to the ICU...
EB is a 24 year patient admitted to the Emergency Department (ED) following a motor vehicle accident. He has a cervical collar in place. The patient presents with reduced level of consciousness. He is cyanotic. His respiratory rate is 6, but irregular. His breath sounds are diminished anteriorly, but absent in the lateral and posterior lung fields. What main physiological concern is raised by this scenario? Name two possible explanations for this patients condition.
Your patient is bleeding profusely from the scalp. You should? Apply a cold pack to prevent tissue swelling Wrap the head tightly with a 4x4 dressing Transport the patient in the shock position Apply direct pressure with a sterile gauze After securing your trauma patient onto a long backboard. You should immediately assess? Level of pain using “1-10” scale The patient’s comfort level Pupil size and vital signs Sensory, pulse, and motor function A patient has diminished breath sounds on...
G.S., a 56-year-old woman, was involved in a motor vehicle accident; a car drifted left of the center line and struck her head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were extensive: bilateral flail chest, right hemothorax and pneumothorax, fractured spleen, multiple small liver lacerations, open fractures of both legs, and a cardiac contusion. She was taken to the operating room for repair of her injuries. There...
J.A., a 19-year-old, unrestrained driver, was involved in a motor vehicle incident on I-90. He arrived in the Emergency Department in full spinal immobilization and a hard-cervical collar. His Glasgow Coma Scale was 15 (normal). His blood pressure is 94/60, pulse 128, respirations 30. His respirations are shallow and chest excursion is paradoxical. The left side of J.A.’s chest moves inward during inspiration and outward during expiration. Breath sounds are diminished throughout the chest. Crepitus is found on palpation. J.A....
A patient is newly intubated. He has normal breath sounds on the right side of his chest, but diminished, distant breath sounds on the left side of his chest. These findings likely indicate: a. inadequate mechanical ventilation. b. intubation in the right mainstem bronchus. c. left hemithorax. d. right hemithorax.
A patient you are caring is noted that a 6 year old is in transit with a suspected brain injury after being involved in a pedestrian / motor vehicle accident. The child is unresponsive at this time. Vital signs are within normal limits. What will the therapy used on this child be directed towards? A. A distended bladder B. A fecal mass C. Abrupt onset of fever D. Sudden hypothermia
The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an unrestrained driver of the vehicle. The vehicle was traveling approximately 42 miles per hour. Upon impact, the driver collided with the windshield and sustained a head injury. The patient is now stable, complaining of pain 9/10 in the head, neck, and shoulder region. Neurologic status: cranial nerves 2-12 intact; patient is awake, alert, and oriented; computed tomography scan was negative...
You are a hospital nurse caring for a 62-year-old accountant who was admitted following a motor vehicle accident. During her hospitalization, a significant lack of urination was detected. Her primary care physician has ordered significant testing while the patient is recovering from her injuries. d. Describe the effects of decreased bladder and sphincter tone on urination. e. What can cause decreased urinary structure muscle tone? (no hand writing please)
The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an unrestrained driver of the vehicle. The vehicle was traveling approximately 42 miles per hour. Upon impact, the driver collided with the windshield and sustained a head injury. The patient is now stable, complaining of pain 9/10 in the head, neck, and shoulder region. Neurologic status: cranial nerves 2-12 intact; patient is awake, alert, and oriented; computed tomography scan was negative...