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Emergency AssessmentMedical-Surgical Nursing-7th edition

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Question Answer
How are tick bites treated?
Show Answer
Remove tick and antibiotics. Death can occur from respiratory muscle paralysis if tick is not removed.
50% of bites will develop an infection if not treated within _______.
Show Answer
24 hours
Source of bite? Pink, macular rash on palms, wrists, soles, feet and ankles, fever, chills, malaise, myalgias, headache, flaccid ascending paralysis.
Show Answer
Tick
How long is the incubation period for rocky mountain spotted fever?
Show Answer
2-14 days
Ticks have a _______ venom that persists as long as the head is attached to the victim.
Show Answer
neurotoxic
How are stings from bugs in the hymenoptera family treated?
Show Answer
Honeybee: remove stinger. Benadryl, epinephrine, steroids. *Bees, yellow jackets, hornets, and wasps.
The black widow spider bite is characterized by severe pain within _______ that increases over _______.
Show Answer
15-60 minutes; increases over 12-24 hours.
The female black widow spider's venom is _______ toxic.
Show Answer
neurotoxic
How are bites treated?
Show Answer
Clean and irrigate, tetanus shot, analgesics/antibiotics, loose sutures (early treatment only), rabies if wild, or unfound domestic animal.
_______ bites carry an increased risk of infection from s. aureus, streptococci or hepatitis.
Show Answer
Human
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A _______ would show free air in the abdomen from a perforated ulcer.
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CT scan
_______ is caused by inflammation of the peritoneum from a chemical, bacterial or viral insult.
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Rebound tenderness
Pain in this quadrant can be from the liver, pancreas, gall bladder, right kidney or duodenum.
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RUQ
Pain in this quadrant can be from the stomach, spleen, pancreas, or left kidney.
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LUQ
Pain in this quadrant can be from the appendix, ovaries, colon, small bowel, hernia or kidney stones.
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RLQ
Pain in this quadrant can be from the ovaries, colon, small bowel, hernia or kidney stones.
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LLQ
When giving blood in an emergency, what gauge needle should be used?
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Large bore, as big as 16 gauge. *Can infuse 1 unit/350 cc over 15 minutes.
When is patient history gathered during an emergency?
Show Answer
Simultaneously with the assessment.
A patient should be _______ when inserting an oropharyngeal airway.
Show Answer
unconscious
When should a patient's c-spine be immobilized?
Show Answer
Presence of face, head, neck or upper torso injury; found down ; or unwitnessed accident.
What are signs and symptoms of respiratory compromise (breathing)?
Show Answer
Dyspnea, cyanosis, paradoxic/ asymmetrical chest wall movement, tachycardia, hypotension, and decreased breath sounds.
  
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