This topic contains a solution. Click here to go to the answer

Author Question: A patient is brought to the emergency department with a penetrating wound to the neck. The patient ... (Read 116 times)

Davideckstein7

  • Hero Member
  • *****
  • Posts: 555
A patient is brought to the emergency department with a penetrating wound to the neck. The patient is dyspneic and cyanotic and has evidence of subcutaneous emphysema. What does the nurse expect the physician to do initially?
 
  1. intubate the patient because of the severe wound
  2. notify the next of kin regarding the patient's condition
  3. order x-rays of the lumbar area to assess for fractures
  4. administer a beta blocker to alleviate the sympathetic response

Question 2

A patient is admitted to the hospital with injuries from a motor vehicle crash. During the nurse's initial assessment, the patient develops hypotension and severe jugular distension with a tracheal deviation.
 
  What should the nurse suspect is occurring in this patient?
 
  1. tension pneumothorax
  2. hemorrhage
  3. compensatory shock
  4. hypovolemic shock



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kiamars2010

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

Correct Answer: 1

Penetrating trauma to the neck is associated with a high degree of morbidity and mortality. Airway involvement includes dyspnea, cyanosis, subcutaneous emphysema, hoarseness, or air bubbling from the wound. The key is early identification of the need for intubation before the patient has no airway at all. The physician will most likely do or prescribe the other options; however, the most important is to maintain the airway.

Answer to Question 2

Correct Answer: 1

A tension pneumothorax is life-threatening and requires immediate intervention. On inspiration, air enters the pleural space, does not escape on expiration, and increases the intrapleural pressure. This pressure collapses the injured lung and shifts the mediastinal contents, compressing the heart, great vessels, trachea, and eventually the uninjured lung. The patient would not have jugular vein distention with a hemorrhage, compensatory shock, or hypovolemic shock.




Davideckstein7

  • Member
  • Posts: 555
Reply 2 on: Jun 25, 2018
Gracias!


xthemafja

  • Member
  • Posts: 348
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

For a complete list of videos, visit our video library