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What does the C stand for in the primary survey?
Circulation
The patient responds when you apply periorbital pressure. This is documented as "response to ____________" in the nurse's note.
pain
The patient collapsed but did not suffer any trauma. What technique should the nurse use to open the airway?
head tilt chin lift
The nurse completes ABCDE in an emergency. The next step is a rapid head to toe assessment. This is referred to as the
secondary survey
The nurse is caring for a trauma victim. The abdomen is firm and tender, and the patient's blood pressure is low. The nurse should suspect
intra-abdominal bleeding
The nurse is caring for a patient at high risk for shock. Which vital sign typically shows signs of shock first?
heart rate
What type of shock is anaphylaxis?
distributive shock
What causes hypovolemic shock?
decreased blood volume (blood loss)
Which part of the primary survey includes placement of an endotracheal tube (if necessary)?
A: Airway
During which part of the primary survey should the nurse look for a medic alert bracelet or ID?
E: Exposure
True or False? Trauma victims should be treated as having a spinal injury until proven otherwise.
True
What is the second step in the primary survey?
B: Breathing
The patient is bleeding from a laceration on the hand. The nurse applies direct pressure. What he/she do next to control the bleeding?
Elevate above the level of the heart
Which of the following is NOT important in the emergency treatment of shock?
Administer oxygen
Administer IV fluids
Provide a healthy diet
Assess vital signs
Provide a healthy diet (patient should be NPO)
The patient presents to the emergency room with difficulty breathing, itching in the chest, and stridor. What should the nurse suspect?
anaphylaxis (severe allergic reaction)
The patient's circulation is evaluated by blanching the nail beds and watching for blood return. How long many seconds is the normal capillary refill?
No more than 3 seconds
