Exam 4: Soft Tissue Trauma

Which of the following are likely to accumulate in the bloodstream following a large crush injury?

Your patient is a 15-year-old soccer player who was kicked in the calf by another player. She has a contusion on her calf, but the amount of pain she is experiencing seems out of proportion to the apparent injury. You note that although you can palpate a pedal pulse, there is swelling in the foot and ankle, and the skin is cool to the touch. You should suspect which of the following at this time?

Which of the following medications may be indicated in the treatment of a patient with a crush injury?

You are assessing an assault victim and note a contusion over the abdomen. Which of the following should you remember while caring for this patient?

One in ________ open wounds becomes infected.

Your patient is a 30-year-old machinist who had his right hand caught in a press. Upon extrication, there is no evidence of significant trauma. You should:

Your patient is a 45-year-old type 2 diabetic man who has a non-healing wound on his right foot. You note that the right leg is discolored and edematous and has subcutaneous emphysema and a foul odor. Which of the following should you suspect?

In which of the following ways does the integumentary system prevent pathogens from entering the body?

You are called to a commercial creamery, where an employee got his arm trapped in the ice cream mixing machinery. You note that the skin has been pulled off his hand and arm from the mid forearm down. The patient's muscles, tendons, and bones are exposed. This type of injury is a(n):

The bacteria most often associated with infection of open soft tissue injury is:

Your patient is a 35-year-old man who has his leg trapped under a section of concrete from an industrial accident. While awaiting removal of the concrete, which type of IV fluid is indicated for administration to this patient?

You are reassessing the distal circulation on a patient's forearm you have bandaged. The distal hand and wrist are cool to the touch and turning pale. The patient complains of numbness and tingling in that hand. What is your next course of action?

Which of the following most accurately describes the injury that removes the epidermis and the upper portion of the dermis?

You have responded for an injured person at an address you know to be a motorcycle clubhouse. Your patient was attacked by another party with a broken beer bottle. Your patient has a large laceration on her neck with moderate bleeding. Which property of your dressing material is most important in caring for this patient?

Your patient is an 18-year-old man who stepped on a nail in the barnyard. The nail penetrated his tennis shoe and punctured his foot. On your arrival, the patient has removed the nail and the shoe. The wound is about 2 mm in diameter with minor bleeding that has been controlled. The skin around the wound is red. The patient does not want to be transported but asks if you can give him "some ointment and a Band-Aid." You should explain to the patient that this type of injury is associated with an increased risk of:

The first stage of wound healing is:

The acute breakdown of muscle fibers in crushing injury is called:

A laceration that is perpendicular to the tension lines of the body is more likely to:

Which of the following is a principle that should be used when considering application of a tourniquet to control bleeding?

In which type of soft tissue injury is the skin cut or torn, leaving a flap of skin attached?