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place an occlusive dressing over the wound (taped on three sides) - Correct Answer -For an open
bubbling chest wound
tearing of a bridging vein between the cerebral cortex and a draining venous sinus - Correct Answer -
Most common underlying cause of a subdural hematoma?
1. Respiratory distress
2. Asymmetry of breath sounds
3. Deviation of trachea to the opposite side of the defect
4. Marked decreased in cardiac output
5. Hypotension
6. Muffled heart sounds - Correct Answer -signs of tension pneumothorax
the neck muscles are strong - Correct Answer -What is NOT an anatomical difference of children?
burns that destroy the entire thickness of the skin
-dark leathery appearance
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,-mottled, or wax like appearance
-painless
-dry surface - Correct Answer -third degree burns
muffled heart sounds
distended neck veins
hypotension - Correct Answer -S/S of cardiac tamponade (Beck's triad)
secure a patent airway with C-spine immobilization - Correct Answer -Which of the following responses is
the most important initial step in providing nursing care of the head injured patient?
-His pulse pressure will narrow
-He will be tachycardic - Correct Answer -A previously healthy 70-kg man suffers an estimated blood loss
of 1 liter. What applies to this patient:
-uterine tenderness or rigidity
-abdominal pain or cramping
-easy palpation of fetal parts - Correct Answer -What signs and symptoms indicate possible uterine
rupture?
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, control hemorrhage and restore blood flow - Correct Answer -The best way to restore cellular and organ
perfusion in hemorrhagic shock is to
adequate urinary output - Correct Answer -Which of the following would provide the nurse with the best
indication of the effectiveness of fluid resuscitation in the burn patient
direct pressure to area of EXTERNAL active bleeding - Correct Answer -Initial management of external
life-threatening hemorrhagic shock includes:
decrease elevated intracranial pressure In the acutely neurological deteriorating patient - Correct
Answer -For the head trauma patient with cerebral edema, hyperventilation should only be used
cautiously for limited periods of time to:
altered level of consciousness
nausea and vomiting
headache
restlessness, change in speech
NOT: Dilated or non-reactive pupil - Correct Answer -In the head injured patient all of the following are
considered early signs and symptoms of increased ICP
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