Page 322 - Critical Care Nursing Demystified

Chapter 6 CARE OF THE TRAUMATIZED PATIENT 307

6. The nurse suspects a patient is experiencing neurogenic shock. The classic
clinical symptoms of neurogenic shock include
A. Facial flushing, headache, and hypertension
B. Flaccid paralysis, pyrexia, and hypertension
C. Spastic paralysis, tachycardia, and hyperthermia
D. Hypotension, bradycardia, and hypothermia

7. A critical care trauma specialist is giving a lecture describing a perforating
wound injury. Which of the following descriptions is most suggestive of a per-
forating wound injury?
A. The body surface directly impacts and comes in contact with the offending
object.
B. Internal organ structures are seriously damaged with an object that enters
but does not exit the body.
C. Objects enter and exit the body causing severe internal trauma.
D. There is evidence of a whiplash contusion injury.

8. A nurse is caring for a patient with third-degree full-thickness burns. While
assessing the area, the nurse would anticipate which of the following in the
traumatized area?
A. Absence of pain, loss of hair, and thrombosed blood vessels 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.
B. Pain, hair growth, and blister formation
C. Paresthesias, pallor, and capillary refill to be normal
D. Loss of bone and muscle, charred appearance, and pain

9. A critical care trauma nurse is orienting a nursing student to the nursing care of
trauma patients. The student asks why a nasogastric tube is contraindicated in
patients with facial fractures. Which of the following would be the best response
by this critical care nurse?
A. “A nasogastric tube can lead to asphyxiation by obstructing the airway.”
B. “A nasogastric tube can cause hemorrhage if the sinuses are penetrated on
insertion.”
C. “Passing the nasogastric tube into the cranium is possible with facial
fractures.”
D. “Insertion of a nasogastric tube introduces bacteria into a traumatized area,
which can lead to meningitis.”

10. The nurse is assessing a patient with an incomplete spinal cord injury (SCI) often
caused by a herniated intervertebral disk. This type of SCI is classified as a/an
A. Anterior cord syndrome
B. Central cord syndrome
C. Brown-Séquard syndrome
D. Posterior cord syndrome