NR 574 FINAL EXAM WEEK 7: TRAUMATIC CHEST & ABDOMINAL INJURIES QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 574 FINAL EXAM WEEK 7: TRAUMATIC CHEST & ABDOMINAL INJURIES QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. cardiac tamponade Correct Answer acute compression of the heart caused by fluid accumulation in the pericardial cavity -Blood spills into the pericardial sac and restricts cardiac filling 2. clinical presentation of cardiac tamponade Correct Answer Beck's triad -jugular venous distention (JVD) -hypotension with narrow pulse pressure -muffled heart tones distended neck veins may occur with active hemorrhage elevated CVP (central venous pressure) pulseless electrical activity (PEA) arrest (not specific) 3. Beck's triad Correct Answer jugular venous distention (JVD) -hypotension with narrow pulse pressure -muffled heart tones 4. flail chest Correct Answer fracture of two or more adjacent ribs in two or more places that allows for free movement of the fractured segment -allow the rib cage to move paradoxically. 5. clinical presentation of flail chest Correct Answer paradoxical chest movement pain hypoxia crepitus on palpation of ribcage 6. flail chest treatment Correct Answer humidified oxygen ventilation management pain management -intercostal nerve block -prevention of respiratory failure -splinting of the chest wall with pillow with movement or coughing pulmonary hygiene -deep breathing and coughing -incentive spirometry 7. "sucking chest wound" is what Correct Answer open pneumothorax -is caused by a defect to the chest that is deep enough to open a passage from the chest wall to the chest cavity. 8. clinical presentation of an open pneumo Correct Answer open chest wound shortness of breath decreased or absent breath sounds on the affected side hypoxia respiratory distress 9. acute management of open pneumothorax Correct Answer The initial treatment is an occlusive dressing over the wound taped on three sides. This allows for a flutter valve effect, allowing air to escape but not enter the chest cavity. chest tube placement for pneumothorax as indicated prophylactic antibiotics 10. chest tube insertion site Correct Answer Chest tube insertion at the fourth or fifth intercostal space, anterior to the midaxillary line, 11. Rib Fractures Correct Answer MOI: direct or indirect trauma S/S: point tender; pain while breathing; sharp pain