A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded. What assessment data suggest the patient suffered tissue damage consistent with a blast injury?
a. Blood pressure 82/60, heart rate 122, respiratory rate 28.
b. Crackles (rales) on auscultation of bilateral lung fields.
c. Responsive only to painful stimuli.
d. Irregular heart rate and rhythm.
B
Explosive blast energy generates shock waves that create changes in air pressure, causing tissue damage. Initially after an explosion, there is a rapid increase in positive pressure for a short period, followed by a longer period of negative pressure. The increase in positive pressure injures gas-containing organs. The tympanic membrane ruptures, and the lungs may show evidence of contusion, acute edema, or rupture. A low blood pressure and corresponding tachycardia is more suggestive of hypovolemia. Lack of response to stimuli suggests a neurological injury. An irregular heart rate and rhythm may be associated with blunt trauma to the heart (e.g. cardiac contusion).
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a. adaptive measures c. conditioning b. cognitive reframing d. crisis intervention
The patient is admitted with severe abdominal pain due to pancreatitis. The patient asks the nurse, "What causes this? Why does it hurt so much?" The nurse should Answer:
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The nurse is evaluating the patient to determine if adequate learning has occurred regarding care of lower back pain. The nurse determines no further teaching is required when observing which patient activities? (Select all that apply.)
a. The patient carries items away from the center of the body. b. The patient bends the knees, with the back straight, and crouches to lift an item off the floor. c. The patient uses a lumbar pillow or roll when sitting for long periods. d. The patient performs proper back exercises twice a day. e. The patient maintains proper body weight.
A _____________ medication provides a slow release of a drug into bloodstream
Fill in the blank(s) with correct word