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ATI CRITICAL CARE FINAL QUESTIONS

Chapter 19
1. Your patient was a passenger in a motor vehicle crash yesterday and suffered an
open fracture of the femur. His condition was stable until an hour ago, when he
began to complain of shortness of breath. His heart rate is 104 beats/min,
respiratory rate is 30 breaths/min, BP is 90/60 mm Hg, and temperature is now 38.4°
C. You suspect that he:
A. has a fat embolism.
B. has developed metabolic acidosis.
C. is developing systemic inflammatory response syndrome (SIRS).
D. is experiencing early multiple organ dysfunction syndrome (MODS).
ANS: A
Rationale: These are classic signs and symptoms of a fat embolism. The history of a longbone fracture adds to the evidence of a fat embolism. The patient may develop
metabolic acidosis associated with poor oxygenation from the fat emboli. SIRS possibly
progressing to MODS would also be a consequence of the fat emboli
2. Poor patient outcomes after a traumatic injury are associated with:
A. chest tube placement for treatment of a hemothorax.
B. immediate decompression of a tension pneumothorax.
C. massive transfusions of blood products.
D. intraosseous cannulation for intravenous fluid administration.
Ans:C
Rationale: Current evidence suggests that patients receiving massive blood transfusions
have poorer outcomes. Although a chest tube may be necessary in the treatment of
trauma patients, it is not associated with poor patient outcomes. Immediate
decompression of a tension pneumothorax is also not associated with poor patient
outcomes. Intraosseous cannulation for intravenous fluid administration has not been
shown to have adverse patient outcomes.
3. Which condition is a common cause of death after chest trauma?
A. Cardiac tamponade
B. Flail chest
C. Hemothorax
D. Pulmonary contusion
ANS: D
Rationale: Pulmonary contusion as a result of blunt chest trauma increases the risk for
development of pneumonia, acute lung injury, and/or ARDS. Cardiac tamponade is life
threatening if untreated, but it is not a common complication after blunt chest trauma.
Flail chest and hemothorax may result with blunt chest trauma, but they are not
common causes of death.

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Specificaties

Niveau: University
School: Chamberlain College Of Nursing
Opleiding: NURSING
Vaknaam: nursing
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Studiejaar: 2024
Boek
Naam boek: ATI CRITICAL CARE FINAL QUESTIONS
Document
Rubriek: Samenvattingen
Gemaakt op: 01-08-2024
Type: .pdf
Pagina's: 147
Taal: English

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