WITH COMPLETE SOLUTIONS GRADED A+
◉ What is the critical goal time from arrival to the ED to CT brain
scan based on the American Heart Association stroke
recommendations?
10 minutes
25 minutes
45 minutes
60 minutes. Answer: 25min
◉ A patient presents with sudden onset of aphasia and left-sided
weakness for the last 25 minutes. What action would be taken
NEXT?
Triage them to the screening area
Complete a thorough triage evaluation, initiate the appropriate
stroke resources
Register the patient prior to triage, and collect smoking and drug use
history
Activate your department's code stroke protocol. Answer: Activate
your deptartment's code stroke protocol
,◉ Your patient's chest tube dressing has accidentally come off and
you are preparing to place a new one. You have a slit drain sponge, 4
x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you
need?
Kelly clamp
Petrolatum gauze
Tube connector
Chest drainage system. Answer: Petrolatum gauze
◉ What type of medication is used in the emergency care setting to
help manage the symptoms of alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine. Answer: Benzos
◉ A patient presents to the lobby stating she thinks she is in active
labor. Your facility doesn't have a labor and delivery unit. What is the
NEXT action you would take?
Tell the patient she needs to go to the nearest hospital with a labor
and delivery unit.
Have an ED provider perform a medical screening exam to
determine if she is in active labor.
, Call the nearest hospital with a labor and delivery unit to see if they
will accept the patient.
Get a wheelchair for the patient and inform her that there will be a 3
hour wait time.. Answer: Have an ED provider preform a MSE
◉ A patient is brought in with a history of a head-on motor vehicle
accident. The patient was not wearing a seat belt and was traveling
at 120 mph with the deployment of an airbag. They complain of
severe lower abdominal and hip pain. A secondary trauma survey
reveals an unstable hip on lateral compression. What would be a
PRIORITY intervention in managing this patient?
Application of pelvic blinder
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line. Answer: Application of a pelvic binder
◉ You exit your patient's room and as you walk away you hear a
thud. Upon inspection, you find your patient on the floor. What
would you do FIRST?
Assess the patient for injury.
Call the familv.
Get assistance.
Notify the charge nurse.. Answer: Assess the pt for injury