Discuss the components of the ‘trauma triad' and outline the practices that would prevent or ameliorate the triad
What will be an ideal response?
Suggested response: Components include: a Acidosis i Improve tissue perfusion secondary to haemorrhage and hypovolaemia ii Sparing use of colloids with Cl– iii Consider NaHCO3 infusion iv Monitor and maximise oxygenation b Hypothermia i Warming blankets ii Increase environmental temperature, i.e. theatre room temperature iii Intravascular warming devices c Coagulopathy i Staged damage-control surgery and repair of vessels ii Replacement of lost blood volume and clotting factors. Initiate massive transfusion protocol if applicable iii Consider agents such as Novo 7 or tranexamic acid iv Increase body temperature
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The nurse would question a prescription for application of cold therapy to which patient? The patient with a:
a. Wound oozing blood b. Sprained wrist c. Infected wound d. Pressure ulcer
Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy?
a. Insulin can cross the placental barrier to the fetus. b. Insulin does not cross the placental barrier to the fetus. c. Oral agents do not cross the placenta. d. Oral agents are not sufficient to meet maternal insulin needs.
A 16-year-old has been menstruating for 4 months. She is interested in using a birth-control method with high reliability
Assuming that all of the following methods of birth control are acceptable to her, which of the following methods would be the best recommendation? A) An ovulation suppressant B) Vaginal foam for her and a condom for her partner C) Postcoital douching D) An intrauterine device
A preschool-age child is being admitted to the hospital for treatment of cellulitis. The child's parents appear upset and frightened
Which question should the nurse use to elicit information concerning the parents' understanding of why the child is being admitted to the hospital? A) "Are you worried? I'll tell you everything you need to know.". B) "Why are you so concerned? We take good care of children here.". C) "Has the doctor told you why your daughter requires hospitalization?" D) "You seem concerned; do you have questions about your child's admission?"