Page 321 - Critical Care Nursing Demystified

306 CRITICAL CARE NURSING DeMYSTIFIED

REVIEW QUESTIONS

1. A patient arrives in the Emergency Care Unit unconscious with a suspected head
and neck injury. Before x-rays are obtained, the best way to stabilize the head
and neck while performing CPR is
A. Head tilt chin lift.
B. Modified jaw thrust.
C. Hyperextension of the neck for placement of an endotracheal tube.
D. No special precautions are needed in the above instance.

2. A mechanism of spinal cord injury that often results in a “whiplash” injury, occurs
from
A. Hyperflexion—compression of the cord due to vertebral column dislocation
B. Rotation—tearing of posterior ligaments
C. Axial loading—a vertical compression injury
D. Hyperextension—stretched and distorted spinal cord without bony involvement

3. The nurse is assessing a patient newly admitted to the ECU with a complete
spinal cord transection. The head-neck x-ray confirms that the level of the
transection is above C3. The nurse’s priority nursing observation should be Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
A. Observation for full recovery without any neurological deficits
B. Monitoring paraplegia with bowel and bladder control in question
C. Monitoring for quadriplegia requiring ventilatory assistance
D. Monitoring for hemiplegia requiring nasal oxygen only
4. The cortical evoked potential responsible for the sensory stimulation of hearing is
A. VEP
B. SSEP
C. BAER
D. CEP

5. A patient is admitted after an MVC where he was thrown through the wind-
shield of his truck. Physical examination and facial x-ray reveals a horizontal
fracture where the entire maxillary arch moves separately from the upper facial
skeleton. The above describes the
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Le Fort IV