Which interventions will be performed during the primary survey for a trauma client? (Select all that apply.)
a. Removing wet clothing
b. Splinting open fractures
c. Initiating IV fluids
d. Endotracheal intubation
e. Foley catheterization
f. Needle decompression
g. Laceration repair
A, C, D, F
The primary survey for a trauma client organizes the approach to the client so that life-threatening injuries are rapidly identified and managed. The primary survey is based on the standard mnemonic ABC, with an added D and E: A, airway and cervical spine control; B, breathing; C, circulation; D, disability; and E, exposure. After completion of primary diagnostic studies and laboratory studies, and insertion of gastric and urinary tubes, the secondary survey, a complete head-to-toe assessment, can be carried out.
You might also like to view...
Which cardiovascular findings indicate to the nurse that the condition of the dying client is worsening?
A) Pulse 104 beats/minute in the morning, 62 beats/minute in the afternoon with mottled feet and ankles B) Pulse 72 beats/minute, irregular; patient confused and agitated C) Pulse 100 beats/minute, blood pressure 100/60 mm Hg, pale with poor skin turgor D) Pulse 60 beats/minute, blood pressure 90/42 mm Hg, difficult to arouse
A 25-year-old client has a diagnosis of paranoid schizophrenia, with auditory hallucinations. The client informs the staff nurse it is necessary to call the FBI
The client states, "The FBI agent that was here earlier said I could call him whenever I wanted.". What would be the nurse's most appropriate therapeutic communication when talking to this client? A) End all conversations with this client until the client accepts reality. B) Confront the client with the reality and administer the client's PRN medication. C) Confront the client and explain that the FBI is not expecting a telephone call. D) Ask the client directly, "What do you want to talk to the FBI about?"
Messages sent through facial expressions, gestures, posture, and body movements is:
a. Body language b. Paraphrasing c. Focusing d. Holism
Name one physical symptom of physical, sexual, or emotional stress
What will be an ideal response?