CHAPTER 72: EMERGENCY NURSING (SUDDARTH)
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
1. Which patient should the nurse prioritize as needing emergent
treatment, assuming no other injuries are present except the ones
outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
B) A patient with a sore neck who was immobilized in the field on a
backboard with a cervical collar
C) A patient with a possible fractured tibia with adequate pedal pulses
D) A patient with an acute onset of confusion Ans✓✓✓Ans: A
Feedback: The patient with blunt chest trauma possibly has a
compromised airway. Establishment and maintenance of a patent airway
and adequate ventilation is prioritized over other health problems,
including skeletal injuries and changes in cognition.
2. The nurse observes that the family members of a patient who was
injured in an accident are blaming each other for the circumstances
leading up to the accident. The nurse appropriately lets the family
members express their feelings of responsibility, while explaining that
there was probably little they could do to prevent the injury. In what
stage of crisis is this family? A) Anxiety and denial B) Remorse and
guilt C) Anger D) Grief Ans✓✓✓: B Feedback: Remorse and guilt are
natural processes of the stages of a crisis and should be facilitated for the
family members to process the crisis. The familys sense of blame and
responsibility are more suggestive of guilt than anger, grief, or anxiety.
,3. A patient is brought to the ED by ambulance with a gunshot wound to
the abdomen. The nurse knows that the most common hollow organ
injured in this type of injury is what?
A) Liver
B) Small bowel
C) Stomach
D) Large bowel Ans✓✓✓ans: B Feedback: Penetrating abdominal
wounds have a high incidence of injury to hollow organs, especially the
small bowel. The liver is also injured frequently, but it is a solid organ.
4. A patient has been brought to the ED with multiple trauma after a
motor vehicle accident. After immediate threats to life have been
addressed, the nurse and trauma team should take what action?
A) Perform a rapid physical assessment.
B) Initiate health education.
C) Perform diagnostic imaging.
D) Establish the circumstances of the accident. Ans✓✓✓ans: A
Feedback: Once immediate threats to life have been corrected, a rapid
physical examination is done to identify injuries and priorities of
treatment. Health education is initiated later in the care process and
diagnostic imaging would take place after a rapid physical assessment. It
is not the care teams responsibility to determine the circumstances of the
accident.
5. The nursing educator is reviewing the signs and symptoms of heat
stroke with a group of nurses who provide care in a desert region. The
educator should describe what sign or symptom? A) Hypertension with a
, wide pulse pressure B) Anhidrosis C) Copious diuresis - 1351 D)
Cheyne-Stokes respirations Ans✓✓✓: B Feedback: Heat stroke is
manifested by anhidrosis confusion, bizarre behavior, coma, elevated
body temperature, hot dry skin, tachypnea, hypotension, and
tachycardia. This health problem is not associated with anhidrosis or
Cheyne-Stokes respirations.
6. A patient is brought to the ED by ambulance after swallowing highly
acidic toilet bowl cleaner 2 hours earlier. The patient is alert and
oriented. What is the care teams most appropriate treatment?
A) Administering syrup of ipecac
B) Performing a gastric lavage
C) Giving milk to drink
D) Referring to psychiatry Ans✓✓✓ans: C Feedback: A patient who has
swallowed an acidic substance, such as toilet bowl cleaner, may be given
milk or water to drink for dilution. Gastric lavage must be performed
within 1 hour of ingestion. A psychiatric consult may be considered
once the patient is physically stable and it is deemed appropriate by the
physician. Syrup of ipecac is no longer used in clinical settings.
7. A patient is admitted to the ED with suspected alcohol intoxication.
The ED nurse is aware of the need to assess for conditions that can
mimic acute alcohol intoxication. In light of this need, the nurse should
perform what action?
A) Check the patients blood glucose level.
B) Assess for a documented history of major depression.
C) Determine whether the patient has ingested a corrosive substance.
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
1. Which patient should the nurse prioritize as needing emergent
treatment, assuming no other injuries are present except the ones
outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
B) A patient with a sore neck who was immobilized in the field on a
backboard with a cervical collar
C) A patient with a possible fractured tibia with adequate pedal pulses
D) A patient with an acute onset of confusion Ans✓✓✓Ans: A
Feedback: The patient with blunt chest trauma possibly has a
compromised airway. Establishment and maintenance of a patent airway
and adequate ventilation is prioritized over other health problems,
including skeletal injuries and changes in cognition.
2. The nurse observes that the family members of a patient who was
injured in an accident are blaming each other for the circumstances
leading up to the accident. The nurse appropriately lets the family
members express their feelings of responsibility, while explaining that
there was probably little they could do to prevent the injury. In what
stage of crisis is this family? A) Anxiety and denial B) Remorse and
guilt C) Anger D) Grief Ans✓✓✓: B Feedback: Remorse and guilt are
natural processes of the stages of a crisis and should be facilitated for the
family members to process the crisis. The familys sense of blame and
responsibility are more suggestive of guilt than anger, grief, or anxiety.
,3. A patient is brought to the ED by ambulance with a gunshot wound to
the abdomen. The nurse knows that the most common hollow organ
injured in this type of injury is what?
A) Liver
B) Small bowel
C) Stomach
D) Large bowel Ans✓✓✓ans: B Feedback: Penetrating abdominal
wounds have a high incidence of injury to hollow organs, especially the
small bowel. The liver is also injured frequently, but it is a solid organ.
4. A patient has been brought to the ED with multiple trauma after a
motor vehicle accident. After immediate threats to life have been
addressed, the nurse and trauma team should take what action?
A) Perform a rapid physical assessment.
B) Initiate health education.
C) Perform diagnostic imaging.
D) Establish the circumstances of the accident. Ans✓✓✓ans: A
Feedback: Once immediate threats to life have been corrected, a rapid
physical examination is done to identify injuries and priorities of
treatment. Health education is initiated later in the care process and
diagnostic imaging would take place after a rapid physical assessment. It
is not the care teams responsibility to determine the circumstances of the
accident.
5. The nursing educator is reviewing the signs and symptoms of heat
stroke with a group of nurses who provide care in a desert region. The
educator should describe what sign or symptom? A) Hypertension with a
, wide pulse pressure B) Anhidrosis C) Copious diuresis - 1351 D)
Cheyne-Stokes respirations Ans✓✓✓: B Feedback: Heat stroke is
manifested by anhidrosis confusion, bizarre behavior, coma, elevated
body temperature, hot dry skin, tachypnea, hypotension, and
tachycardia. This health problem is not associated with anhidrosis or
Cheyne-Stokes respirations.
6. A patient is brought to the ED by ambulance after swallowing highly
acidic toilet bowl cleaner 2 hours earlier. The patient is alert and
oriented. What is the care teams most appropriate treatment?
A) Administering syrup of ipecac
B) Performing a gastric lavage
C) Giving milk to drink
D) Referring to psychiatry Ans✓✓✓ans: C Feedback: A patient who has
swallowed an acidic substance, such as toilet bowl cleaner, may be given
milk or water to drink for dilution. Gastric lavage must be performed
within 1 hour of ingestion. A psychiatric consult may be considered
once the patient is physically stable and it is deemed appropriate by the
physician. Syrup of ipecac is no longer used in clinical settings.
7. A patient is admitted to the ED with suspected alcohol intoxication.
The ED nurse is aware of the need to assess for conditions that can
mimic acute alcohol intoxication. In light of this need, the nurse should
perform what action?
A) Check the patients blood glucose level.
B) Assess for a documented history of major depression.
C) Determine whether the patient has ingested a corrosive substance.
