The presence of tachycardia following a significant abdominal injury: |
should be assumed to be a sign of shock |
When worn properly, a seatbelt should lie: |
below the anterior superior iliac spines of the pelvis and against the hip joints |
Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured: |
diaphragm |
Contraction or tensing of the abdominal muscles in an effort to ease pain is called: |
guarding |
Compression injury is most likely due to which of the following? |
Improperly placed lap belt |
Severe bleeding may occur with injury to ___ organs. |
solid |
Which of the following is true regarding injury to the kidneys? |
Injury to the kidneys usually indicates injury to other organs |
You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately,you should: |
closely monitor him and reassess him frequently |
Suspect a possible injury of the urinary bladder in all of the following findings, EXCEPT: |
bruising to the left upper quadrant |
When a patient stiffens the muscles of the abdomen, it is known as ___. |
guarding |
Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: |
control any external bleeding, administer oxygen, and transport at once |
A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The most appropriate treatment for this patient includes: |
applying direct pressure with a dry, sterile dressing |
Blood may irritate the ___ and cause the patient to report abdominal pain. |
peritoneal cavity |
Soft-tissue damage inside the body without breaking the skin |
Closed abdominal injury |
Displacement of organs outside the body |
Evisceration |
Injury where there is a break in the skin or mucous membrane |
P[em abdominal injury (open?) |
Stomach, small intestine, ureters |
Hollow organs |
Liver, pancreas, spleen |
Solid organs |
Early bruising following abdominal trauma often manifests as: |
red areas of skin |
Peritonitis usually occurs when: |
hollow abdominal organs are damaged and spill their contents into the peritoneal cavity |
The largest organ in the abdomen is the: |
liver |
The mesentery is: |
a membranous fold that reattaches the intestines to the walls of the body |
Which of the following organs would MOST likely bleed profusely when injured? |
Liver |
Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the: |
liver |
Another name for the right and left upper quadrants is the ___. |
flank |
The first signs of peritonitis include all of the following, EXCEPT: |
nausea |
When treating a patient with an evisceration, you should: |
cover the protruding contents with moist, sterile gauze compresses |
All of the following systems contain organs that make up the contents of the abdominal cavity, EXCEPT: |
the limbic system |
Assuming that no obvious signs of intra-abdominal injury are present, which of the following injuries would MOST likely cause an injury to the liver or spleen to be overlooked? |
Shoulder fracture |
All of the following are hollow abdominal organs, EXCEPT the: |
spleen |
Which of the following statements regarding abdominal eviscerations is correct? |
The protruding organs should be kept warm and moist |
Because the depth of an open abdominal wound is often difficult to determine: |
prompt transport to the hospital is essential |
You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should: |
insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM |
When should you visually inspect the external genitalia on your patient? |
Only when there is a complaint of severe pain or other injury |
In any case of trauma to a female patient, you should always determine if the patient: |
is pregnant |
Placing a pregnant patient in a supine position during the third trimester of pregnancy: |
may decrease the amount of blood that returns to the heart |
Abdominal pain, vomiting, and fever are most likely due to ___. |
infection |
In pediatric patients, the liver and spleen are ___. |
larger in proportion to the abdomen |
You should suspect a kidney injury anytime the patient presents with ___. |
a hematoma in the flank region |
Your documentation on a sexual assault victim should ___. |
be objective and factual |
The ___ system is responsible for filtering waste. |
urinary |
When a hollow organ is punctured during a penetrating injury to the abdomen: |
peritonitis may not develop for several hours |
Accumulation of blood in the abdominal cavity will MOST likely cause: |
distension |
injuries to the external male genitalia ___. |
are rarely life-threatening |
During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of: |
intra-abdominal bleeding |
Chapter 30 Abdominal and Genitourinary Injuries
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