33. The primary goal of early, small-volume, enteral feeding is to support the intestinal mucosa and
reduce
-
Bacterial and toxin translocation
34. Clinical findings that suggest sepsis development in the trauma patient include
-
Tachycardia, widened pulse pressure, and tachypnea
35. Four days post injury, a polytrauma patient has the following vital signs BP 97/54; HR 133/min;
RR 22/min. Urine output is 12 mL/hr. Skin is cool and mottled. The pulse oximeter is not sensing
dependably. These findings suggest
-
Early sepsis
36. A patient involved in a head-on motor vehicle collision was restrained with a 3-point seatbelt.
There is a bruising across the patient’s abdomen at the level of the umbilicus. The nurse will
carefully monitor this patient for signs of injury to the
-
Mesentery, duodenum, and pancreas
37. A construction worker was pinned under a heavy beam for several hours. He has compartment
syndrome of the right forearm. The trauma nurse will closely monitor this patient for signs of
rhabdomyolysis, including
-
Dark-colored urine and dropping urine output
38. Treatment of prerenal failure in the trauma patient chiefly involves
-
Refilling the vascular space
39. A previously healthy young adult was thrown from a horse and sustained complex orthopedic
injuries. Which of the following dietary discharge instructions is appropriate for this patient>
-
Eat a standard diet but increase total calories, protein, and calcium-rich foods
40. In the patient with an open fracture, IV antibiotics significantly decrease the risk of osteomyelitis, if
administered within ______ of hospital arrival.
-
1 hour
41. An 82-year old man is admitted to the hospital after falling down 2 steps. The patient is alert and
oriented and has several minor bruises and abrasions. Which of the following vital sign findings
would be most concerning?
-
Heart rate 65/min, BP 108/90 mm Hg
42. Two days after a motor vehicle collision, a patient cannot remember the event and complains of
headache and nausea. His brain computed tomography scan is normal. These findings suggest
which type of injury?
-
Concussion
43. In the early post-resuscitation phase of care, interventions for the patient with a diffuse axonal
injury primarily focus on
-
Limiting secondary brain damage
