QUIZ

Head Injury and Pulmonary Embolism

1. All of the following statements about the occurrence of head injuries are correct except:
a. b. c. d.

The majority of all victims are younger than 25 years of age. An estimated 50,000 persons die annually from these injuries. Motor vehicle crashes are the primary cause. The majority of injuries occur in females.

2. It is the distinct characteristic sign of basillar skull fracture:

a.

b.
c. d.

Headache and Fever Dyspnea and Localized Pain Otorrhea and Rhinorrhea Nausea and Vomiting

3. One of the nursing diagnosis can be Imbalanced Nutrition and to promote adequate nutrition, the diet of a patient must be:

a. b. c.

d.

High Carbohydrate Low Fats High Fiber High Protein

4. An indicator of elevated body temperature in a head-injured patient is:

a) b) c) d)

Cerebral Irritation From Hemorrhage Damage To The Hypothalamus Infection All Of The Above

5. In assessing the patients level of consciousness, you must assess the GCS it shows that he has severe head injury when the GCS score is:
a) b) c) d)

GCS with 4 6 GCS with 3 8 GCS with 2 8 GCS with 3 6

6. Due to decreased oxygen that circulates with in the body especially with in the brain, what will you do to decreased venous pressure in terms of maintaining the airway?
a)

b)
c) d)

Efficient Oxygenation Elevation of the bed about 30 60 degrees Effective Suctioning Early Ambulation

7. A patient suffers from head injury, the nurse know that the physician cannot give which of the following medications that can depress the CNS continously?
a) b) c) d)

Naloxone HCl Acetaminophen Codeine Sulfate Naproxen Sodium

8. List at least one management to prevent head injury

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
9.

On the basis of Sandys medical history, the nurse suspects that a predisposing condition may have been:
a) b) c) d)

Hypercoagulability Postoperative immobility Venous stasis All of the above factors

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
10.

As part of her assessment information, the nurse knows that the majority of pulmonary emboli originate in the:
Deep Leg Veins Lung Tissue Pelvic Area Right Atrium Of The Heart

a) b) c) d)

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
11.

The most common symptom of pulmonary embolism is:

Fever Dyspnea Chest Pain Hemoptysis

a) b) c) d)

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
12.

The nurse knows that treatment must be immediate since death from a pulmonary embolism can occur:
within 1 hour. within 24 hours. in the first 48 hours. in 3 to 5 days

a) b) c) d)

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
13.

On the basis of Sandys diagnosis, the nurse knows to look for a decrease in:
Alveolar Dead Space Cardiac Output Pulmonary Arterial Pressure Right Ventricular Work Load

a) b) c) d)

Of

The

Heart

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
14.

A primary nursing problem for Sandy would be:

atelectasis bradycardia dyspnea hypertension

a) b) c) d)

Sandy, a 37-year-old woman recovering from multiple fractures sustained in a car accident, was admitted to the intensive care unit for treatment of a PULMONARY EMBOLISM. Before admission, she was short of breath after walking up a flight of stairs.
15.

The nurse knows that Sandys diagnosis was probably confirmed by:
A Bronchogram A Chest Roentgenogram An Electrocardiogram A Lung Scan

a) b) c) d)