Ch. 30 (Trauma)

Question 1

List the hollow organs of the abdomen and urinary system

Answer 1

1) Stomach
2) Intestines
3) Ureters
4) Urinary Bladder
5) Structures through which materials pass

Question 2

List the solid organs of the abdomen and urinary system.

Answer 2

1) Liver
2) Spleen
3) Diaphragm
4) Kidneys
5) Pancreas

Question 3

List the signs and symptoms of an abdominal injury

Answer 3

1) Firmness on palpation of the abdomen
2) Obvious penetrating wounds
3) Bruises
4) Altered vital signs
5) Increased pulse rate
6) Increased respiratory rate
7) Decreased blood pressure
8) Abdominal tenderness

Question 4

List the steps to care for an open abdominal injury

Answer 4

1) Log roll pt onto backboard in supine position
2) Protect the spine
3) Inspect pt’s vital signs for indications of shock
4) Provide O2 via BVM
5) Inspect pt’s back & sides for exit wounds
6) Sterile dressing

Question 5

List the steps to care for an open abdominal wound with exposed organs

Answer 5

Cover internal organs with sterile dressings moistened with sterile saline solution and secure with a bandage & tape.

Question 6

List the major history or physical findings associated with possible kidney damage.

Answer 6

1) An abrasion, laceration, or contusion in the flank
2) A penetrating wound in the flank or the upper abdomen
3) Fractures on either side of the lower rib cage or of the lower thoracic or upper lumbar vertebrae
4) A hematoma in the flank region