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1. 1. An adult patient who sustained a severe head trauma has been intubat- ed
and is being manually ventilated via a bag-mask device at a rate of 18
breaths/minute. The patient has received one intravenous fluid bolus of 500 mL of
warmed isotonic crystalloid solution.The PaCO2 is 30 mm Hg (4.0 kPa),and the
pulse oximetry is 92%.BP is 142/70 mm Hg.What is the most importantintervention
to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.: A. Decrease the rate of manual
ventilation
2. 2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as
amputation of a limb, paralysis, or loss of sight.: B. Amputation of a limb
3. 3. What is the most important consideration during the initial assessmentwhen
caring for an older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician: B. Medical history including current
medication
4. 4. You are caring for a patient who was thrown from a bike and was not wearing
a helmet. While performing the head-to-toe assessment, you note clear drainage
from the right ear.Which of the following is the most appropriatenext step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.: C. Notify the physician
5. 5. When should the definitive calculation for intravenous fluid resuscitationrate
be performed for a patient with burns?
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