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Abd Trauma

Abd Trauma

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Created by

Joseph Chamness

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2 Slides • 29 Questions

1

Abd/Chest Trauma

2

Match

Match the following

Cullen's Sign

Grey Turner's Sign

Kehr’s Sign

blue discoloration at umbilicus

flank ecchymosis

Left Shoulder Pain

3

Multiple Choice

Which of the following is the most commonly injured organ in blunt abdominal trauma?

1
Pancreas
2
Kidney
3
Spleen
4
Liver

4

Multiple Choice

A patient with a suspected bowel perforation has sudden severe abdominal pain, a rigid abdomen, and rebound tenderness. What is the nurse’s priority action?

1

Administer IV Fluids and broad spectrum antibiotics

2

Prepare the patient for emergent surgery

3

Perform Abdominal ultrasound to confirm diagnosis

4

Insert NG tube to decompress the stomach

5

Multiple Choice

A patient with a liver laceration following a blunt trauma is hemodynamically stable but has a persistently elevated international normalized ratio (INR) despite initial fluid resuscitation and blood transfusion. What is the nurse’s priority intervention?

1

Administer vitamin K and monitor coagulation studies.

2

Notify the healthcare provider to prepare for surgery.

3

Continue to monitor vital signs and fluid balance.

4

Administer a vasopressor to maintain blood pressure.

6

Multiple Choice

A patient presents with referred pain to the left shoulder and ecchymosis in the left flank. Based on these findings, what is the most likely injury?

1

Pancreatic Injury

2

Kidney Laceration

3

Ruptured Spleen

4

Bowel Perforation

7

Word Cloud

What additional signs would confirm your suspicion of a ruptured spleen?

8

Multiple Choice

A patient involved in an MVC is suspected of having a diaphragm rupture. Which assessment finding supports this diagnosis?

1

Absent bowel sounds in the abdomen.

2

Diminished breath sounds on the left with bowel sounds heard in the chest.

3

Distended abdomen with dullness to percussion.

4

Referred pain to the right shoulder.

9

Multiple Choice

Which of the following hemodynamic changes would you expect in hypovolemic shock?

1

↑ CVP, ↑ CO, ↓ SVR

2

↓ CVP, ↑ CO, ↑ SVR

3

↑ CVP, ↑ CO, ↑ SVR

4

↓ CVP, ↓ CO, ↑ SVR

10

Multiple Choice

A patient with abdominal trauma develops worsening hypotension, metabolic acidosis, and coagulopathy despite fluid resuscitation and transfusions. What is the most critical next step?

1

Continue fluid resuscitation and monitor lactate levels.

2

Administer vasopressors to maintain blood pressure.

3

Initiate warming measures and administer clotting factors.

4

Perform abdominal decompression immediately.

11

Multiple Choice

A patient post-trauma shows elevated lactate, prolonged PT/INR, and signs of organ dysfunction. Which intervention should the nurse prioritize to prevent progression to sepsis?

1

Administer broad-spectrum antibiotics and begin fluid resuscitation.

2

Transfer the patient for immediate surgical exploration.

3

Monitor coagulation studies and provide supportive care.

4

Insert a central line for vasopressor administration.

12

Multiple Choice

A client involved in a high-speed collision presents with bright red blood at the urethral meatus. What is your immediate action?

1

Insert a Foley catheter.

2

Notify physician

3

Observe the site for additional bleeding or tissue damage.

4

Collect a urine sample for analysis.

13

Multiple Choice

A patient with suspected renal trauma presents with flank pain and gross hematuria following a fall from a significant height. What is the priority intervention?

1

Prepare for a CT scan with IV contrast to assess for renal damage

2

Insert a Foley catheter to monitor urinary output.

3

Administer IV fluids to maintain blood pressure.

4

Prepare the patient for emergent surgical exploration.

14

Multiple Choice

A patient with an open-book pelvic fracture is hemodynamically unstable despite fluid resuscitation. What is the next appropriate step?

1

Apply a pelvic binder to stabilize the fracture and reduce bleeding.

2

Perform a retrograde urethrogram to assess for urethral injury.

3

Insert a suprapubic catheter to drain the bladder.

4

Administer vasopressors to maintain mean arterial pressure.

15

Multiple Choice

A trauma patient with severe hypovolemia has the following hemodynamic readings: CVP 1 mmHg, CO 3 L/min, SVR 1800 dynes/sec/cm⁵. What intervention should the nurse anticipate?

1

Administer diuretics to manage fluid overload.

2

Begin vasopressor therapy to improve SVR.

3

Prepare for emergent dialysis to address acidosis.

4

Administer isotonic fluids to increase preload.

16

Multiple Choice

A patient with blunt abdominal trauma has a MAP of 60 mmHg, lactate level of 4 mmol/L, and ongoing tachycardia. Which nursing intervention takes prio

1

Administer a fluid bolus to improve MAP.

2

Notify the provider to schedule a CT scan.

3

Prepare the patient for immediate surgical intervention.

4

Start broad-spectrum antibiotics to prevent infection.

17

Multiple Choice

A patient presents with gross hematuria and reports flank pain after a motor vehicle accident. Imaging confirms a grade II renal laceration. What intervention should the nurse expect?

1

Emergent surgical repair to control bleeding.

2

Bed rest with serial monitoring of hemoglobin and hematocrit.

3

Administration of IV antibiotics to prevent infection.

4

Placement of a nephrostomy tube to relieve pressure.

18

Multiple Choice

What clinical finding strongly suggests tension pneumothorax?

1

Hypotension and tracheal deviation

2

Chest pain and bradycardia

3

Widened pulse pressure

4

Dullness to percussion.

19

Multiple Choice

Which finding is most concerning for a patient with suspected cardiac tamponade?

1

Jugular venous distension while lying flat

2

Oxygen saturation of 92% on room air

3

Respiratory rate of 22 breaths per minute

4

Hypotension with narrow pulse pressure

20

Multiple Choice

What action should the nurse take if the chest tube becomes disconnected?

1

Clamp the chest tube and call for help.

2

Place the end in sterile water to maintain the seal.

3

Reconnect the tube without cleaning it.

4

Remove the chest tube entirely.

21

Multiple Choice

What is the nurse’s priority if the drainage system is knocked over?

1

Document the incident and monitor the patient.

2

Reposition the system upright and continue monitoring.

3

Replace the system and reattach the chest tube.

4

Disconnect the system and apply an occlusive dressing.

22

Multiple Choice

What should the nurse monitor to ensure the chest tube is functioning correctly?

1

The fluctuation in the water seal chamber with respiration.

2

Continuous bubbling in the suction control chamber.

3

The absence of drainage in the collection chamber.

4

The patient's ability to perform deep breathing exercises.

23

Multiple Choice

A patient with blunt chest trauma presents with a MAP of 55 mmHg, absent breath sounds on the right, and tracheal deviation to the left. What is the nurse’s priority action?

1

Notify the provider to prepare for chest tube placement.

2

Administer 100% oxygen and prepare for needle decompression.

3

Obtain a chest X-ray to confirm the diagnosis.

4

Begin fluid resuscitation for suspected hypovolemic shock.

24

Multiple Choice

A patient with chest trauma exhibits hypotension, muffled heart sounds, and jugular venous distension. What is the nurse’s priority?

1

Administer IV fluids to improve preload.

2

Apply a cardiac monitor and assess for dysrhythmias.

3

Place the patient in a high Fowler’s position.

4

Notify the provider and prepare for pericardiocentesis.

25

Multiple Choice

A patient involved in a high-speed MVC presents with unequal blood pressures in the upper extremities and a widened mediastinum on chest X-ray. What is the nurse’s priority?

1

Administer oxygen and prepare for surgery.

2

Notify the provider and initiate fluid resuscitation.

3

Place the patient supine to reduce strain on the aorta.

4

Monitor vital signs and observe for deterioration.

26

Multiple Choice

A patient with flail chest develops worsening hypoxia despite high-flow oxygen. What intervention should the nurse anticipate?

1

Administration of bronchodilators.

2

Placement of a chest tube.

3

Intubation and mechanical ventilation.

4

Needle decompression.

27

Multiple Choice

A patient with multiple rib fractures is reluctant to breathe deeply due to pain. What is the nurse’s best intervention to prevent complications?

1

Prepare the patient for emergent intubation.

2

Administer prescribed analgesics and encourage incentive spirometry

3

Apply a chest binder to stabilize the rib fractures.

4

Reposition the patient in high Fowler’s position.

28

Multiple Choice

A patient’s chest tube drainage suddenly stops, and the nurse notices absent fluctuation in the water seal chamber. What is the nurse’s priority action?

1

Clamp the chest tube to assess patency.

2

Check for kinks or clots in the tubing.

3

Notify the provider for possible tube removal.

4

Increase suction to restore drainage.

29

Multiple Choice

A patient with a chest tube complains of sudden chest pain and dyspnea. On assessment, the nurse finds continuous bubbling in the water seal chamber. What is the nurse’s best action?

1

Clamp the chest tube and call the provider.

2

Reinforce the dressing and monitor the patient.

3

Check for an air leak and tighten connections.

4

Increase suction to resolve the bubbling.

30

Word Cloud

What part of the material for next week's exam are you the most worried about?

31

Questions??

Understanding this material is a bit like dating. If you don’t ask the right questions, you’ll never know if you’re heading for something amazing or a complete disaster. So keep asking, stay curious, and remember—we’re all just trying to keep things from crashing and burning (or bubbling and leaking!).

Abd/Chest Trauma

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