An older man arrives at the ED disoriented and breathing rapidly. He has hot, dry, skin. What is the priority for treatment at this point.
To assess his airway, breathing, and circulation
To obtain a detailed medical history for his family
To determine that he has his health card before treating him
To start oxygen administration and have the ED physician see him
Which one of the following assessment parameters will the nurse address during the secondary assessment of a patient in triage?
Blood pressure and heart rate
Patency of the patient's airway
Neurological status and level of consciousness
Presence or absence of breath sounds and quality of breathing
A head to toe assessment and full set of vital signs are performed during the...
In a burst fracture, the nurse expects to find...
an intact fracture; fracture is caused by minor to moderate force applied directly to the bone
fragments out of normal position at fracture site
bone buckles and eventually cracks as the result of unusual loading force applied to its longitudinal axis
fracture lines radiate from one central point
multiple pieces of bone
What kind of fracture occurs at a 90 degree angle to longitudinal axis of bone?
A displaced # is often...
How much blood is lost with a patient whose pelvis is fractured in three sites?
One would consider external fixation for a patient with...
soft tissue damage
Nursing management for a patient with fractures includes....(select all that apply)
Circulation, sensation, movement.
Observe for bleeding
Head of bed elevation 6-8 inches
Signs of infection
Which of the following nursing interventions is essential in caring for a client with compartment syndrome?
Keeping the affected extremity below the level of the heart
Wrapping the affected extremity with a compression dressing to help decrease the swelling
Removing all external sources of pressure, such as clothing and jewelry
Call MD and prepare for fasciotomy.