Caring for Soft-Tissue Injuries and Bleeding Chapter 17 Flashcards
Which one of the following is NOT a typical characteristic of arterial bleeding?
A. Blood spurts from the wound.
B. Blood flows steadily from the wound.
C. The color of the blood is bright red.
D. Blood loss is often profuse in a short period of time.
B. Blood flows steadily from the wound.
When attempting to control bleeding, which one of the following procedures will follow direct pressure?
A. Indirect pressure
B. Tourniquet
C. Elevation combined with direct pressure
D. Pressure points
C. Elevation combined with direct pressure
Most cases of external bleeding can be controlled by: A. Applying direct pressure B. Using a tourniquet C. Securing a pressure bandage D. Applying a clotting agent
A. Applying direct pressure
The material placed directly over a wound to help control bleeding is called a (an): A. Bandage B. Elastic bandage C. Occlusive dressing D. Dressing
D. Dressing
The tearing loose or the tearing off of a large flap of skin describes which one of the following types of wounds? A. Abrasion B. Amputation C. Laceration D. Avulsion
D. Avulsion
You are caring for a patient with a severe soft tissue injury to the lower leg. You have exposed the wound. What should you do next? A. Apply direct pressure B. Remove debris from the wound C. Care for shock D. Elevate the extremity
A. Apply direct pressure
When providing care for an open injury to the cheek in which the object has entered through the skin into the mouth, you must ensure an open airway and:
A. Remove the impaled object
B. Turn the patient’s head to one side
C. Dress and bandage the outside of the wound
D. Place dressings into the mouth
A. Remove the impaled object
When providing care for an open injury to the external ear:
A. Pack the ear canal
B. Use a cotton swab to clear the ear canal
C. Wash out the ear canal
D. Apply dressings and bandage in place
D. Apply dressings and bandage in place
Which one of the following patients is most at risk for a multi-system trauma?
A. 16 year old who fell 4 feet from a ladder
B. 66-year-old female ejected from a vehicle rollover
C. 44-year-old male whose foot was crushed by a forklift
D. 27-year-old struck in the head by a baseball bat
B. 66 year old female ejected from a vehicle rollover
When caring for a patient with severe burns, you must take BSI precautions and then: A. Stop the burning process B. Prevent further contamination C. Flush only large burn areas D. Remove jewelry
A. Stop the burning process
All of the following our signs or symptoms of internal bleeding capital word EXCEPT: A. Increased pulse rate B. Decreasing blood pressure C. Decreasing pulse rate D. Pale skin color
C. Decreasing pulse rate
Your patient has a large open wound to his neck. You have controlled bleeding with direct pressure, so you should then:
A. Pack the inside of the wound with clean dressings
B. Pour sterile saline over the wound
C. Cover the wound with a dry, clean dressing
D. Cover the wound with an occlusive dressing
D. Cover the wound with an occlusive dressing
Which one of the following best describes the appropriate care for an amputated body part?
A. Wrap it with clean gauze and place it on ice
B. Apply a tourniquet to the exposed end of the part
C. Bandage the part back onto the body
D. Place the part in sterile water
A. Wrap it with clean gauze and place it on ice
A bandage that is applied to tightly is at risk for:
A. restricting circulation to the distal extremity
B. Pushing the dressings too far into the wound
C. Restricting blood flow to the proximal extremity
D. Causing a blood clot
A. Restricting circulation to the distal extremity
A 23-year-old female has been kicked in the abdomen by a horse. She is alert and oriented and complaining of pain to her lower abdomen. You should suspect: A. A flail chest B. Internal bleeding C. A fractured pelvis D. An ectopic pregnancy
B. Internal bleeding
Your patient has been impaled through the right thigh by a long piece of metal bar. The ABC’s are intact and there is very little external bleeding. You should:
A. Carefully remove the object
B. Tie both legs together
C. Stabilize the object with bulky dressings
D. Cut both ends of the bar to make it shorter
C. Stabilize the object with bulky dressings
You are caring for a 10-year-old boy whose eye has been pulled from the socket following a dog attack. The eye is hanging down the cheek by some tissue. The ABCs are intact and bleeding has been controlled. You should:
A. Place the injured eye back in the socket
B. Remove the injured eye & placed it on ice
C. Cover the uninjured eye
D. Cover both eyes with bulky dressings
D. Cover both eyes with bulky dressings
You arrive on the scene to find a young girl with an active nosebleed. She is crying and the sight of the blood is scaring her. You should:
A. Position her on her side while holding pressure on the nose
B. Have her lean forward while you pinch the nostrils
C. Have her lean backward as far as possible while holding the nose D. Pack both nostrils with sterile gauze
B. Have her lean forward while you pinch the nostrils
You are caring for a burn victim who has partial thickness burns covering his entire right arm and the front of his torso. What is the estimated BSA affected? A. 18% B. 25% C. 27% D. 36%
C. 27%
You are caring for a burn victim with both partial and full thickness burns over 40% of her body. The ABCs are intact and you have her on high flow oxygen. You should:
A. Cover her with sterile burn sheets
B. Apply cool water over the burns
C. Apply moist dressings over the burns
D. Not cover the burns, but you should arrange transport
A. Cover her with sterile burn sheets
Arterial bleeding is characterized by blood that:
Spurts or sprays from a wound.
Venous bleeding can be heavy, but flows:
Steadily from a wound.
Capillary bleeding will:
Slowly ooze from a wound.
If a patient is bleeding from an open wound, you should:
Apply direct pressure, apply a pressure bandage, and elevate the injury site if necessary. If none of these techniques work, consider applying a tourniquet.
Emergency care for internal bleeding involves:
Recognition, activating the EMS system, keeping the patient still and comfortable, being alert for vomiting, and treating for shock.
External soft tissue injuries include:
Abrasions, lacerations, Avulsions, punctures, and amputations.
Impaled objects should be:
Stabilized in place using bulky dressings or improvised materials.
Never remove an impaled object unless it is interfering with the patient’s airway. True or False?
True
Multisystem trauma occurs when a patient:
Has suffered a significant mechanism of injury that has caused trauma to numerous body systems, such as the skin, muscles, circulation, and nerves.
Amputations should initially be cared for with:
Direct pressure or tourniquets to control bleeding. The patient should then be treated for shock (with the amputated part) and transported by ambulance as soon as possible.
Nose bleeds should be cared for by:
Pinching the nostrils together and having the patient lean forward.
Eye injuries can be very serious and must be treated carefully to prevent permanent damage and blindness. It is important to cover the uninjured eye to prevent movement of the injured eye. True or False?
True.
Three burn classifications according to the depth of the burn are:
- superficial
- partial thickness
- full thickness
What are the characteristics of superficial burns?
- Red & painful
2. Only affect the top layer of skin (epidermis)
What are the characteristics of partial thickness burns?
- Damage reaches into the epidermis & dermis, &
2. Presents with pain, swelling, & blisters
What are the characteristics of full thickness burns?
- Causes damage down to the bone,
- Kills affected nerves and tissues,
- Dry & leathery
- Presents with white, dark brown, or charred, rigid skin and very little pain.
The first step in treating burns is to:
- Stop the burning process
2. Remove any affected clothing or jewelry
Treatment for severe burns includes:
- Constant monitor of the patient’s airway,
2. Treatment for shock.
Awidely accepted method of determining the body surface area affected by a burn is:
The “rule of nines”
How does the “rule of nines” work?
It divides the body into quadrants valued in 9% increments and allows for easy estimation of the burned area.
What are dressings made of & what are their purpose?
Made of clean sterile cloth; to help control bleeding & protect wounds from contamination.
What is the purpose of a bandage?
Bandages are used to hold dressings in place.
What are the 6 classifications of burns according to the agent that caused the injury (source of the burn)?
- Heat (thermal) burns which may be caused by fire, steam, or hot objects
- Chemical burns, which may be caused by caustics, such as acids and alkalis
- Electrical burns, which originate from outlets, fried wires, and faulty circuits
- Lightning burns, which occur during electrical storms
- Light burns, which occur with intense light. Light from the arc welder or industrial laser, or ultraviolet light, including sunlight, can burn the eyes and skin.
- Radiation burns, which usually result from nuclear sources.
A superficial or partial thickness burn that involves less than _____ patients total body surface area is considered a __________ burn.
9%
Minor burn
