Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponad
A. Engorged jugular veins
Chapter 29, page 1045, Complications and Management of Chest Injuries
Immediately life-threatening chest injuries must be found and managed during the _______.
A. primary assessment
B. scene size-up
C. patient history
D. secondary assessment
A. primary assessment
Chapter 29, page 1037, Patient Assessment
You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic,
D. laceration of the aorta.
Chapter 29, page 1048, Other Chest Injuries
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In additi
C. prepare for immediate transport.
Chapter 29, page 1047, Other Chest Injuries
Patients with chest injuries will often present with _______.
A. agonal respirations
B. tachypnea
C. Kussmaul respirations
D. Cheyne-Stokes respirations
B. tachypnea
Chapter 29, page 1036, Injuries of the Chest
If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:
A. must increase his or her respiratory rate to maintain adequate minute volume.
B. will maintain adequate minute volume if his or her respiratory rate sta
A. must increase his or her respiratory rate to maintain adequate minute volume.
Chapter 29, page 1034, Mechanics of Ventilation
When a person is lying supine at the end of exhalation, the diaphragm:
A. descends below the level of the navel.
B. may rise as high as the nipple line.
C. is less prone to penetrating trauma.
D. contracts and flattens inferiorly.
B. may rise as high as the nipple line.
Chapter 29, page 1031, Anatomy and Physiology
A spinal cord injury at the level of C7 would MOST likely result in:
A. paralysis of the intercostal muscles.
B. paralysis of all the respiratory muscles.
C. paralysis of the diaphragm.
D. immediate cardiac arrest.
A. paralysis of the intercostal muscles.
Chapter 29, page 1031, Anatomy and Physiology
Which of the following is most likely to cause immediate death?
A. Myocardial contusion
B. Aortic rupture
C. Aortic dissection
D. Pulmonary contusion
B. Aortic rupture
Chapter 29, page 1035, Injuries of the Chest
You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:
A. partially remov
A. partially remove the dressing.
Chapter 29, pages 1041-1042, Complications and Management of Chest Injuries
Closed chest injuries are typically caused by _______.
A. flying debris
B. high-velocity weapons
C. penetrating trauma
D. blunt trauma
D. blunt trauma
Chapter 29, page 1034 Injuries of the Chest
A simple pneumothorax:
A. is caused by penetrating chest trauma.
B. heals on its own without any treatment.
C. is commonly caused by blunt chest trauma.
D. often has a nontraumatic cause.
C. is commonly caused by blunt chest trauma.
Chapter 29, page 1042, Complications and Management of Chest Injuries
In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:
A. flail chest.
B. pneumothorax.
C. cardiac tamponade.
D. myocardial contusion.
B. pneumothorax.
Chapter 29, page 1037, Patient Assessment
While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest.
B. administer oxygen and transport to the hospital.
Chapter 29, page 1043, Complications and Management of Chest Injuries
An open pneumothorax occurs when:
A. extreme pleural pressure causes the lung to rupture.
B. a fractured rib perforates the tissue of the lung.
C. air enters the pleural space from a perforated lung.
D. air enters the pleural space from outside the body.
D. air enters the pleural space from outside the body.
Chapter 29, page 1041, Complications and Management of Chest Injuries
You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labor
B. immediately request ALS support.
Chapter 29, page 1044, Complications and Management of Chest Injuries
The thoracic cavity is separated from the abdominal cavity by the:
A. costovertebral angle.
B. anterior rib cage.
C. intercostal margin.
D. diaphragm.
D. diaphragm.
Chapter 29, page 1033, Anatomy and Physiology
Children are often "belly breathers" because _______.
A. they are routinely hypoxic
B. their intercostal muscles are not developed
C. they are consciously controlling ventilations
D. their diaphragm is not functional
B. their intercostal muscles are not developed
Chapter 29, pages 1031-1032, Anatomy and Physiology
A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress and his oxygen saturation is 78%. His breath sounds are equal bilaterally and his
A. pulmonary contusion.
Chapter 29, page 1047, Other Chest Injuries
A flail chest occurs when:
A. multiple ribs are fractured on both sides of the thoracic cage.
B. more than three ribs are fractured on the same side of the chest.
C. a segment of the chest wall is detached from the thoracic cage.
D. a segment of fractured
C. a segment of the chest wall is detached from the thoracic cage.
Chapter 29, page 1045, Complications and Management of Chest Injuries