ATI Care of the Patient Following a Traumatic Injury: Chapter 8: Perrin: Understanding the Essentials of Critical Care Nursing: Chamberlain College of Nursing NR 341 (A Graded) Latest Questions and Complete Solutions Perrin: Understanding the Essentials of Critical Care Nursing Chapter 8: Care of the Patient Following a Traumatic Injury MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the questions 1) A patient arrives in the emergency department with a flail chest after a motor vehicle accident (MVA) in which the patient's chest hit the steering wheel. This injury is due to which of the following? A) Blunt trauma from internal forces caused by acceleration B) Blunt trauma from external forces caused by deceleration C) Penetrating trauma from external forces caused by deceleration D) Penetrating trauma from internal forces caused by acceleration Answer: B Explanation: A) Blunt trauma leaves the skin intact and damage to underlying tissue, such as broken ribs. External forces are created by the mass of the object and velocity of movement outside the body and the weight of the person being pushed forward after the car hit something. Deceleration is the force that stops or decreases the velocity of the moving victim, such as the chest hitting the steering wheel. #1, #3, and #4 are incorrect. Penetrating wounds have an open wound and flail chests are intact at the skin level (closed refers to no open wound). Internal forces refer to stress or strain created within the body, not from outside forces. Acceleration forces are when the increasing speed hits someone who is stationary, such as a car hitting a person crossing the street. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care B) Blunt trauma leaves the skin intact and damage to underlying tissue, such as broken ribs. External forces are created by the mass of the object and velocity of movement outside the body and the weight of the person being pushed forward after the car hit something. Deceleration is the force that stops or decreases the velocity of the moving victim, such as the chest hitting the steering wheel. #1, #3, and #4 are incorrect. Penetrating wounds have an open wound and flail chests are intact at the skin level (closed refers to no open wound). Internal forces refer to stress or strain created within the body, not from outside forces. Acceleration forces are when the increasing speed hits someone who is stationary, such as a car hitting a person crossing the street. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care C) Blunt trauma leaves the skin intact and damage to underlying tissue, such as broken ribs. External forces are created by the mass of the object and velocity of movement outside the body and the weight of the person being pushed forward after the car hit something. Deceleration is the force that stops or decreases the velocity of the moving victim, such as the chest hitting the steering wheel. #1, #3, and #4 are incorrect. Penetrating wounds have an open wound and flail chests are intact at the skin level (closed refers to no open wound). Internal forces refer to stress or strain created within the body, not from outside forces. Acceleration forces are when the increasing speed hits someone who is stationary, such as a car hitting a person crossing the street. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care D) Blunt trauma leaves the skin intact and damage to underlying tissue, such as broken ribs. External forces are created by the mass of the object and velocity of movement outside the body and the weight of the person being pushed forward after the car hit something. Deceleration is the force that stops or decreases the velocity of the moving victim, such as the chest hitting the steering wheel. #1, #3, and #4 are incorrect. Penetrating wounds have an open wound and flail chests are intact at the skin level (closed refers to no open wound). Internal forces refer to stress or strain created within the body, not from outside forces. Acceleration forces are when the increasing speed hits someone who is stationary, such as a car hitting a person crossing the street. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care 2) Which of the following patients is an example of an open traumatic injury? A patient with: A) A closed hip fracture that was caused by a fall B) A gun shot wound without penetration of the bullet due to the b-uplrleotof vest C) Near- drowning after falling through a frozen lake D) Burns over 30% of the body from a house fire Answer: D Explanation: A) Burns over 30% of the body from a house fire is an example of an open or penetrating wound in which the skin does not remain intact. #1, #2, and #3 are incorrect responses because they are examples of blunt trauma in which the skin is not broken, but underlying tissue is damaged. Nursing Process: Evaluation Cognitive Level: Knowledge comprehension Category of Need: Safe, Effective Care Environment–Safety and Infection Control B) Burns over 30% of the body from a house fire is an example of an open or penetrating wound in which the skin does not remain intact. #1, #2, and #3 are incorrect responses because they are examples of blunt trauma in which the skin is not broken, but underlying tissue is damaged. Nursing Process: Evaluation Cognitive Level: Knowledge comprehension Category of Need: Safe, Effective Care Environment–Safety and Infection Control C) Burns over 30% of the body from a house fire is an example of an open or penetrating wound in which the skin does not remain intact. #1, #2, and #3 are incorrect responses because they are examples of blunt trauma in which the skin is not broken, but underlying tissue is damaged. Nursing Process: Evaluation Cognitive Level: Knowledge comprehension Category of Need: Safe, Effective Care Environment–Safety and Infection Control D) Burns over 30% of the body from a house fire is an example of an open or penetrating wound in which the skin does not remain intact. #1, #2, and #3 are incorrect responses because they are examples of blunt trauma in which the skin is not broken, but underlying tissue is damaged. Nursing Process: Evaluation Cognitive Level: Knowledge comprehension Category of Need: Safe, Effective Care Environment–Safety and Infection Control