Exam 50: Mechanisms of Traumatic Injury

The nurse is assessing a dog bite on a child's forearm and notes that the epidermis, dermis, and subcutaneous tissues have been damaged and the wound is bleeding profusely. The nurse classifies the severity of the bite as:

A nurse in a level III trauma center is preparing her patient for transport to a level I trauma center. How should the nurse describe a level I trauma center to the patient and family?

A patient performing home renovations is brought to the emergency department with electrical burns. When assessing the patient, the nurse should recall that:

A patient in the emergency department has sustained burns to the back of the torso and the back of one leg. The nurse calculates that this patient has burns covering what percentage of total body surface area using the Rule of Nines formula?

The trauma committee at a level II trauma center is discussing ways to reduce death during the second peak of the trimodal distribution for trauma deaths. The trauma nurse on the committee suggests which intervention to reduce deaths during this time frame?

Which of the following should the nurse consider when assessing a pregnant trauma victim?

The nurse is caring for a trauma patient in the emergency department who is 26-weeks pregnant. Which maternal test does the nurse anticipate will be performed to determine if there is fetal blood in the maternal circulation?

The nurse should expect to assess which finding in a patient with a mild reaction to a snake bite of the index finger?

The nurse, assessing a patient who was in a motor vehicle accident, notes a large purple discoloration of the thigh. The nurse explains to the patient that he has:

The nurse is caring for a patient with major blood loss following a motor vehicle accident. Which ratio does the nurse anticipate for replacement of red blood cells, platelets, and fresh frozen plasma?

The nurse is caring for a pediatric patient who has sustained burns to the back of the torso and the back of one leg. The nurse calculates that this child has burns covering what percentage of total body surface area using the Rule of Nines formula?

The initial plan of care for a patient with a contaminated dog bite wound, with an animal that is available for testing, should include:

A patient has burns that are pale and leathery and reports little pain from the burn site. How should the nurse classify this burn?

The nurse is assessing a patient who was burned lighting a charcoal grill and is in severe pain. The nurse notes blistering red, moist skin. How should the nurse classify this burn?

When assessing a trauma patient using the ABCDE approach, what does the nurse understand the "E" to represent?

A patient is being assessed in the emergency department following a skiing accident in which the patient was found unconscious at the foot of a tree with his left leg at an obtuse angle. Which concept of hypothermia should guide the nurse's assessment and plan of care?

A patient is brought to the emergency department with chemical burns on his skin. The nurse obtains the materials safety data sheet (MDS) on the chemical substance. Which information is not included on the MDS?

A 77-kilogram patient with burns to the front of the torso, both arms, and face is being treated in the emergency department. Using the Parkland formula, how much lactated Ringer's solution does the nurse anticipate infusing of the first 8 hours?

Which principle should guide the trauma nurse's plan of care for a pregnant woman?

Which concept should the nurse consider when planning care for an older adult trauma patient?