Exam 51: The Pathophysiology of Primary and Secondary Traumatic Injury

The trauma nurse has arrived at the scene of a large scale industrial accident. When assessing clients who have suffered trauma, the nurse understands that the primary survey begins with the assessment of which areas? Select all that apply.

The nurse is assessing a client with a spinal cord injury who is exhibiting loss of motor function, pain, and temperature sensation distal to the injury. Which complication does the nurse suspect?

The nurse is providing education to a client with postconcussive syndrome about the symptoms associated with traumatic brain injuries. Which symptoms will the nurse review with the client? Select all that apply.

The emergency department nurse has received a call from an incoming ambulance about a client who sustained a pelvic fracture. Which concomitant findings does the nurse understand to significantly increase the mortality rate in this client? Select all that apply.

The nurse cares for a client who has sustained a trauma. While assessing the client, the client begins to exhibit dyspnea, distended neck veins, and tracheal deviation to the left side. What condition does the nurse expect?

The trauma nurse has arrived at the site of a major accident and is assessing several clients with extremity injuries. Which injury requires immediate intervention by the nurse?

The nurse is caring for a client diagnosed with a myocardial contusion. The nurse understands that which complication can result from this condition? Select all that apply.

The trauma nurse has arrived at the scene of a large accident and is preparing to transport clients to a trauma center. Which injury does the nurse immediately identify as requiring priority transport?

The nurse is assessing a neonate for a suspected spinal cord injury. What age-related considerations does the nurse take during the assessment? Select all that apply.

The nurse is caring for a client with pericardial tamponade. Which statements about the mechanism of this condition does the nurse know to be true? Select all that apply.

The trauma nurse is assigned to triage clients who have suffered trauma during a natural disaster. The nurse understands that according to the guidelines for field triage of injured patients, step 2 of triage includes which assessment?

The trauma nurse is assessing a client's level of consciousness with the Glasgow coma scale. Which components does the nurse recognize are part of the Glasgow coma scale? Select all that apply.

The nurse is assisting with the intubation of a client who has sustained a traumatic injury. What is the priority intervention for the nurse?

The intensive care nurse is assessing a group of clients. Which clients does the nurse identify as likely requiring intubation? Select all that apply.

The nurse is caring for a client with penetrating abdominal trauma. Which organ does the nurse identify as most commonly affected by this type of injury?

The trauma nurse is performing a primary survey on a client who suffered trauma. Which assessment does the nurse determine will take the highest priority during the survey?

The nurse is performing an assessment on zone III of the neck on a client with a cervical spine injury. The nurse understands that zone III is comprised of which structures? Select all that apply.

The nurse is assessing an older adult client for trauma following a motor vehicle accident. Which special considerations does the nurse understand must be taken for this client?

The nurse is caring for a client diagnosed with a pneumothorax. Which statement about this condition does the nurse know to be true?

The nurse is caring for a client with a diffuse axonal injury. Which statement about the client's condition does the nurse know to be true?