Ch. 27 Flashcards
(32 cards)
A burn that is characterized by redness and pain is classified as a:
-Superficial burn
-Partial-thickness burn
-Second degree burn
-Full-thickness burn
Superficial burn
A hematoma develops when:
-Large blood vessels beneath the skin are damaged
-Small amounts of blood leak into the epidermis
-Severe swelling compromises arterial circulation
-Cells and small vessels in the dermis are damaged
Large blood vessels beneath the skin are damaged
An abdominal evisceration:
-Often causes severe hypothermia because of heat loss
-Occurs when organs protrude through an open wound
-Is most commonly the result of blunt force trauma
-Should be covered with bulky dry, sterile dressings
Occurs when organs protrude through an open wound
An injury that separates various layers of soft tissue, resulting in complete detachment or a flap of skin, is called a(n):
-Avulsion
-Incision
-Amputation
-Laceration
Avulsion
Functions of dressings and bandages include all of the following, except:
-Protection from further injury
-immobilization of the injury
-Control of external hemorrhage
-Prevention of contamination
Immobilization of the injury
Functions of the skin include all of the following, except:
-The productions of key antibodies
-Sending information to the brain
-Maintenance of water balance
-Regulation of body temperature
The production of key antibodies
In addition to severe bleeding, the most life-threatening complication associated with an open neck injury is:
-Nerve fiber damage
-An air embolism
-A spinal fracture
-An ischemic stroke
An air embolism
When caring for a patient whose arm is covered with a dry chemical, you should:
-Deactivated the chemical with a 5% vinegar solution
-Use forceful streams of water to remove the chemical
-Quickly irrigate the arm with large amounts of water
-Brush away the chemical before flushing with water
Brush away the chemical before flushing with water
Which of the following is a severe burn in a 35-year-old patient?
-Partial-thickness burn to 20% of the body surface area
-Circumferential partial-thickness burn to the chest
-Full-thickness burn to 5% of the body surface area
-Superficial burn covering 50% of the body surface area
Circumferential partial-thickness burn to the chest
You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During, transport she begins to complain of numbness and tingling in her hand. You should:
-Carefully manipulate her arm until the symptoms subside
-Remove the gauze bandage and replace it with an elastic one
-Remove the bandage and dressing and apply another one
-Assess distal circulation and readjust the bandage as needed
Assess distal circulation and readjust the bandage as needed
A young male was struck in the forearm with a baseball and complains of pain to the area. Slight swelling and ecchymosis are present, but no external bleeding. Which type of injury does this describe?
-Abrasion
-Contusion
-Hematoma
-Avulsion
Contusion
A compression injury that is severe enough to cut off blood flow below the injury is called:
-A contusion
-A hematoma
-A local thrombus
-Compartment syndrome
Compartment syndrome
A 45-year-old convenience store clerk was shot in the right anterior chest during a robbery. your assessment reveals that the wound has blood bubbling from it every time the patient breathes. Your most immediate action should be to:
-Prevent air from entering the wound
-Cover the wound with a bulky dressing
-Assess the patient’s back for an exit wound
-Transport the patient promptly to the closest trauma center
Cover the wound with a bulky dressing
What effects will the application of an ice have on a hematoma?
-Vasodilation and increased pain
-Vasodilation and decrease bleeding
-Vasoconstriction and increased swelling
-Vasoconstriction and decreased bleeding
Vasoconstriction and decreased bleeding
The primary reason for applying a sterile dressing to an open injury is to:
-Prevent contamination
-Control external bleeding
-Reduce the risk of infection
-Minimize any internal bleeding
Control external bleeding
The most appropriate way to dress and bandage an open abdominal wound with a loop of bowel protruding from it is to:
-Cover the wound with a dry, sterile dressing and apply firm pressure
-Apply a moist, sterile dressing to the wound and apply firm pressure
-Apply a moist, sterile dressing to the wound and secure with an occlusive dressing
-Carefully replace the protruding bowel into the abdomen and cover the wound
Apply a moist, sterile dressing to the wound and secure with an occlusive dressing
-Carefully r
A 22-year-old male was attacked by a rival gang and has a large knife impaled in the center of the his chest. your assessment revels that he is apnea and pulseless. You should:
-Carefully remove the knife, control any bleeding, begin CPR, and transport
-Stabilize the knife in place, provide rescue breathing, and transport at once
-Remove the knife and control any bleeding, apply the AED, and analyze his rhythm
-Begin CPR, control any external bleeding, and transport rapidly to a trauma center
Carefully remove the knife, control any bleeding, begin CPR, and transport
Which of the following is considered a severe burn?
-Any fill-thickness burn
-20% partial-thickness burn
-10% full-thickness burn with abrasions
-5% full-thickness burn with a fracture
5% full-thickness with a fracture
A 5-year-old boy was burned when he pulled a barbecue grill over on himself. He has partial- and full-thickness burns to his anterior chest and circumferentially on both arms. What percentage of his body surface area has been burned?
-18%
-27%
-36%
-45%
27%
Which of the following statements regarding chemical burns is false?
-Most chemical burns are caused by strong acids or alkalis
-Fumes of strong chemicals can cause burns to the respiratory tract
-Prior or removing a dry chemical, you should flush the area with sterile water
-You should not attempt to neutralize an acid burn with an alkaline chemical
Prior or removing a dry chemical, you should flush the area with sterile water`
How long after a body being trapped does crush syndrome develop?
4 hours
What is compartment syndrome?
swelling that occurs whenever tissues are injured and develops within 6 to 12 hours of injury
What is a primary blast injury?
damage caused by the blast wave and sudden pressure changes
What is a secondary blast injury?
damage results from flying debris
