Think About it Thursday 2/11

Rehabilitation of the severely injured poly-trauma patient begins in which of the following locations?

• Acute care floor

• Progressive care area

• Critical care unit

• Rehabilitation center

A blunt thoracic trauma patient was diagnosed with pulmonary contusions. Ten hours after admission, which of the following findings is the best indicator of deterioration?

• PaO2:FiO2 ratio is 250

• SpO2 is 97% on 3 L NC

• PaCO2 is 48 mm Hg

  Negative inspiratory force is 38 cm H2O

A 75 year-old patient takes daily warfarin for chronic atrial fibrillation. The patient experienced a same level fall 3 weeks ago. The patient is now admitted for new onset confusion. Which of the following diagnostic tests would most likely identify the cause of the patient's altered mental status?

• Brain magnetic resonance imaging

• Cerebral digital subtraction angiography

• Head computed tomography scan

• Prothrombin time, international normalized ratio

A patient involved in a rollover MVC has fractures of the right humerus and left femur, as well as bilateral tibia and fibula fractures. The trauma nurse aggressively treats the patient for hypovolemic shock, knowing the combined potential blood loss from these orthopedic injuries may be as high as

• 4000mL

• 2000mL

• 1000mL

• 750mL

A patient was admitted to the hospital for conservative management of a single stab wound tothe left kidney. 48 hours after injury, the patient is awake, alert, and speaking. Vital signs are within acceptable parameters. The trauma nurse is unconcerned to note which of the following assessment findings?

• Abdominal rebound tenderness to palpation

• Left shoulder pain unassociated with arm movement

• A large area of faint bruising along the left flank

• Muffled heart sounds, hypotension, and distended neck veins