Concept explainers
35-Year-Old Female with Chest Trauma
Barbara Joley was in a major car accident. When EMS managed to free her from the wreckage, she was cyanotic and apneic (not breathing). Her heart was still beating, but her pulse was fast and thready. The emergency medical technician reported that when Barbara was found, her head was cocked at a peculiar angle and it looked like she had a fracture at the level of the C2 vertebra. The following questions refer to these observations.
4.NCLEX-STYLE How do Barbara's recorded injuries relate to the pneumothorax?
a. The pain from her broken ribs is causing her to decrease breathing, so the right lung is not inflating.
b. Barbara’s fractured ribs probably punctured her lung tissue and allowed air within the lung to enter the pleural cavity.
c. When the level of O2 in the blood decreases, a negative feedback loop involving the central chemoreceptors causes lung inflation to decrease as well.
d. Her traumatic injury has caused her peripheral chemoreceptors to stop working, so they are not causing her to increase ventilation.
Want to see the full answer?
Check out a sample textbook solutionChapter 22 Solutions
HUMAN ANATOMY & PHYSIOLOGY (LCPO)
- Juanita Gomez was diagnosed as having ___________________________. This bone marrow disorder is characterized by the insufficient production of one or more types of blood cells.arrow_forwardSITUATION: Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and reactive to light. Her vital signs are as follows: Heart Rate…arrow_forwardSITUATION: Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and reactive to light. Her vital signs are as follows: Heart Rate…arrow_forward
- SITUATION: Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and reactive to light. Her vital signs are as follows: Heart Rate…arrow_forwardSITUATION: Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and reactive to light. Her vital signs are as follows: Heart Rate…arrow_forwardMrs. C is a 50-year-old woman who presents with joint pain. She reports the pain has been present for about 2 years. The pain affects her hands and her wrists. She describes the pain as a “dull aching” and “a stiffness.” It is worse in the morning and improves over 2 to 3 hours. She says that on particularly bad days she uses aspirin with moderate relief. She is otherwise well, except for a history of mild hypertension managed with angiotensin-receptor blocker. She reports no other joint pain. She does not have a history of psoriasis. Her vital signs are: 37.1 C; B/P 128/84; P 84; R 14. There is a 2/6 systolic ejection murmur. Joint exam revealed limited range of motion of the MCPs and wrists bilaterally. There is swelling of the third and fourth MCP on the right and the third on the left. There is pain at the extremes of motion and a boggy quality to the joints. A detailed skin exam is normal. Rheumatoid arthritis (RA) is suspected. 1. What type of hypersensitivity is rheumatoid…arrow_forward
- Mr. Grady, a 70-year-old male with a history of arthritis, is evaluated by his rheumatologist for a sudden onset of excruciating pain and classic symptoms of gout in the first metatarsal joint of the left great toe. He appears at the office using crutches to avoid bearing weight on his left foot. His vital signs are temperature 100.6, pulse 88, respirations 28, and blood pressure 164/92. He describes the level of his pain at 10 when not at rest. Mr. Grady’s left toe appears inflamed and is very tender to the touch. Diagnostic evaluation turns up urate crystals in the joint fluid, and a blood serum uric acid test indicates hyperuricemia. Mr. Grady mentions he and his wife have just returned from a cruise celebrating their fiftieth wedding anniversary. He states that he enjoyed lots of his favorite foods, including shrimp and steak, and that he drank a great deal of beer. His more recent medical history includes increasing obesity, poorly controlled high blood pressure, and kidney…arrow_forwardGood day, would you please help me with the question below. I will highly appreciate your help. QUESTION What is the possible condition suspected if a 12months baby boy mid-upper arm circumferenceee is 17cmarrow_forwardMixing Embalming Fluids Mildred is 58 years old and died after falling down the stairs when she tripped on her crutches. Mildred was using crutches because she had severe foot problems due to uncontrolled diabetes. The fall left her with a large gash across her forehead, a fracture in the temporal bone of the skull, black eyes, and many bruises. She was transferred to the morgue where the medical examiner performed a complete autopsy. Mildred is not being viewed, however, her burial will not take place for 2 weeks after her death. What fluids would you use? and why?arrow_forward
- Mrs. Reyes, 71 years old, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency department by ambulance. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6°C; and pain 4/10. Document a brief neurologic exam on this patient.arrow_forwardThe vessel marked (blue circle) 1. crosses from right to left 2. receives deoxygenated blood from the left esophagus 3. terminates in the left brachocephalic vein 4. receives deoxygenated blood from the posterior heart 5. drains directly into the superior vena cava 6. receives deoxygenated blood from the left mediastinum Choose the correct answer: (A) 1 and 5 (B) 2 and 6 (C) 2, 3, and 4 (D) 2, 3, 4, and 6arrow_forwardDr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?arrow_forward
- Essentials Health Info Management Principles/Prac...Health & NutritionISBN:9780357191651Author:BowiePublisher:CengageComprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
- Understanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:CengageMedical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage Learning