emerg med

Stermun pain and bruising over broken femur due to respiratory complications

In a disaster , if you don’t have medical personal available for person injured, what is the 1st thing to do?
- Always determine your priorities in a new patient

When caring for an unconscious patient, nurses primary concern to began treatment is?
- ABC’s (Airway)

Your working in the emergency room department when 4 ppl are brought in from a veciale accident. What person will you bring in care 1st?
- Stermun pain and bruising over broken femur due to respiratory complications

An ederly client is brought to the hospital w/ the parametic’s, pt has cough, confusion, and looks disavaled. In all your findings, which is your greatest priority?
- Assess the cough

There’s a thunder storm and your working w/ the resue team trying to find victums. You find one next to a gas pipe breathing heavily, what is the 1st thing you do?
- Remove victums in field from dangerous situations prior to treating them

Your working in the emergency room when 4 patients w/ health problems arrive.
Which gets a ttention 1st?
- Patient w/ chest pain before abd penetrating wound/ fracture as the chest circulatory and abd goes to surgery

Your working the ER and your monitoring a pt’s bp. You notice a change in the bp. Whar is the 1st theing you should do when you notice that change?
- Check all abnormal VS and other abnormalities

When apt starts to vomit while lying in bed, what position should you put the pt in?
- Left lateral

Under the good summartin law, what can the nurse be held liable for?
- Commits gross negligence

Your responding to a victum in a collapsed building. Who do you treat 1st?
-The least injured to increase other help

While working the ER department you receive a notice of an unknown biological attack. What document held in the facilty will tell you how to respond to the incident?
- Disaster plan/emergency operations plan

A pt has heat exgustion. Pt receives 500ml of fluid challenge of normal saline over a 20 min period. While the pt is receiving the fluid, what should you monitor pt for?
- For crackles in the lungs by too much fluid too fast and needs intervention

Pt who had heat stroke has an elvated tempature of 105 FH and hot dry skin. What is your nursing intervention? - Cold comprassess
- NPO
- Ice pack
- Blanket (No Medication b/c you cant give NPO/ Fluids)

Pt w/ hypothermia, what are most common s/s? - Cool pale skin (or even blueish)
- Altered mental status
- Slower respirations
- Rewarming in hot water is to prevent tissue necrosis

Tx of hypothermia:
- Warm Fluid
- Warm Blankets
- Warm IV’s

What is the rationale for rapid contious rewarming area affected by frost bite?
- Tissue Damage

Pt bitten 2 hrs ago by a rattle snake. Dr determines pt needs the medication antivenom, what should nurse moniter for?

- Asses VS q 15 min/s

Client comes to the emergency room after being stung by a bee. Pt claims he is allergic to bee’s and he has a difficult time breathing. What should you be most concerned about?
- That the pt can die from anaphalaxis/ asphxia

What is the approiate action to take to a prn who has a reaction to stings?
- A restricting band that’s will be placed proximal to the wound and to heart

Acute mountain sickness? Give Ox2 and 2 Liters per min

Working the ER on a hot summer day when 4 clients had a near drowning accidient. Which pt should nurse assess 1st? - Pt who was drowning in the ocean by inhaling salt water = Hypovolemia

For a person who drowns in the ocean inhaling salt water moving to lungs. What will this cause?
- Polumenary edema

Pt commits sucide by slashing wrists, what is the 1st thing to do?
- Apply pressure

A shock pt put in shock position , how would one position the person? - Supine with feet elevated

If one goes into unexpected shock for whatever reason, which Vs would change 1st?
- A increase in respority and pulse, blood pressure will decrease

If a pt is laid in shock position, why insert a foley cathater in?
- To determine urinary output/ urine flow and to measure any output

A client in shock position, what are two indications? - In head and neck injuries

How would you determine the effectiveness of tx in the fluid replacement therapy by the saline given?
- Monitor pulse and blood pressure
(Pulse decreases, blood pressure increases)

Pt ambulating becomes weak and knees began to buckle, What should you do?
- Assist them gently to the floor

Pt tried to commit sucide by swallowing APAP and overdosed, what is the antidote?
- Administer mucomist (acetylcystine)

For children who live in old homes such as those 1970's houses are likely to be at risk for what?
- Lead poisoning

What is the cause of lead poisioning? - causes irreversible brain damage

Pt calls ER says child injected poison substance, How should nurse respond?
- Have them call poison control

If the child is poisioned and is acting strange and not breathing, have pt call? - 911

Why does a toddler have Botullism poisoning from home?
- Canned foods (or honey) mother dipped pass afire in honey to calm the child

Bleach (sodium hypochlorite) has splashed in a childs eye, What should nurse do?
- Irrigate the eye with copious quantities of water

A child comes crying stating a ball hit his glasses and that he has the feeling there is something in his eye, what do you do? - Patch the eye and take the child to the ER

No blind finger sweeps, Why? - It can push the obstruction deeper in

Main concern for burns to neck and face? - Suspect airway complications

Pt in the ER room w/ a fever of unknown etimology, what lab is abnormal?
- WBC at 30,000k is high
(8-10 is normal)

Taking care of pt’s after an expolsion in a power plant, which pt needs clothing removed?
- Client with what chemicals spilled on himself, strip the clothes and cleanse

Taking care to a pt who had an explosion in a power plant, pt is laying on his back complains of back pain and can not move his lower extermities, what is your nursing intervention?
- Do not move the client

Female pt w/ abnormal amount of tissue around ankle, What ? Should be asked?
- How much asprin do you take

In the ER, tpt w/ a herniated disc, expect pain to increase when the pt does what?
- Coughs
- Sneezes
- Bend over
- Lifting heavy objects

Pt dx w/ _______ difficulty. Postive stool culture, What percussions are taken?
- Contact

If serious danger is associated w/ intestinal suctioning NG tube , what is the pt lossing?
- Electroylates and hydrocoric

Pt comes to ER after several days of vomiting , breathing is slow and sallow, what acid base does pt have? - Metabolic Alkosis Respitory Compensated

When assessing pain in a pt, why is the reason we don’t know location and duration , are important b/c it helps determine what? - ideology = means cause