32. Which symptom would indicate a ruptured diaphragm?A. Tracheal deviation to the right sideB. Vomiting bright red bloodC. Bowel sounds in the lower to middle chestD. Muffled heart tones33. In approaching family members after the death of a trauma patient, which of thefollowing actions by the nurse is most appropriate?34. Upon completion of the primary assessment the next step would be to?35. An intubated trauma patient is being manually ventilated. The emergency nursenotices that the patient is becoming more difficult to ventilate and is developingabdominal distention. The nurse should:
Photocopying of this exam is strictly prohibited936. During a water skiing incident, a patient sustained a small laceration to theiranterior neck. Over the past 30 minutes the patient has developed progressivehoarseness. This may be an indication of which type of injury?A. Tracheobronchial ruptureB. Carotid vascular injuryC. Ruptured vocal cordD. Esophageal tear37. You are caring for an unrestrained driver of a motor vehicle crash. He is severelydyspneic and cyanotic. He has labored respirations and absent breath sounds onthe right with unilateral chest rise and fall. You suspect which of the followinginjuries?38. Which of the following constellation of signs are associated with Cushing’s triad?39. A 42-year-old male who weights 82-kg (180-lbs) is brought to the emergencydepartment after sustaining partial and full thickness burns over 60% of his body.According to the Parkland Formula, how many milliliters of fluid should hereceive during the first 8 hours following the burn using the formula 4 mL/kg/%total body surface area burned?
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