D.Coagulopathy - ansA patient who sustained severe injuries was brought to the
emergency department following a high-speed motor vehicle collision. Interventions for
hypovolemic shock have been initiated. What component of the trauma triad of death is
most likely to have begun at the time of injury?
A.Acidosis
B.Hypothermia
C.Hypocalcemia
D.Coagulopathy
D.Gently rewarm over 15 to 30 minutes - ansA patient arrives following prolonged
exposure of their left hand to the cold. The patient is awake and alert and complains of
a tingling sensation to the fingers. Assessment reveals swelling and bright red skin to
the left hand and a 1-inch round clear blister to the dorsum of that hand. Which of the
following nursing interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5oC and 39.5oC (99.5oF to 103.1oF).D.Gently
rewarm over 15 to 30 minutes
D.Insert an oropharyngeal airway if there is no gag reflex - ansDuring the primary
survey of an unconscious patient with multi-system trauma, the nurse notes snoring
respirations. Which priority nursing intervention should be performed next?
A.Open the airway with the head-tilt/chin-lift
maneuverB.Auscultate bilateral breath sounds
C.Assist respirations using a bag-mask device
D.Insert an oropharyngeal airway if there is no gag reflex
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