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Traumatic Brain Injury and Thoracic Trauma: Q&A Review, Exams of Nursing

Aims Community CollegeNursing

A concise question-and-answer review of traumatic brain injuries (tbi) and thoracic trauma, covering key aspects such as the pathophysiology of tbi, nursing interventions to prevent secondary brain injuries, and the management of conditions like hemothorax and pneumothorax. It addresses symptoms, complications, and interventions, making it a useful resource for students studying trauma care. The material includes critical information on icp management, oxygenation, and the importance of preventing secondary injuries in tbi patients. Additionally, it covers the recognition and treatment of tension pneumothorax, including the procedure for needle decompression. This review is designed to reinforce understanding and prepare students for exams or clinical practice in emergency and critical care settings. It offers a quick reference for essential concepts and interventions in trauma nursing, aiding in the retention and application of knowledge.

Typology: Exams

2024/2025

Available from 06/08/2025

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NUR 2016: TRAUMA TEST 2 QUESTIONS WITH COMPLETE
SOLUTIONS
1) What is a traumatic brain injury? -- Answer ✔✔ When force is applied to the skull
and results in direct brain injury. Can be mild, moderate, or severe.
2) What are the symptoms of mild trauma brain injuries? -- Answer ✔✔ Brief change in
LOC with return to baseline
3) What are the symptoms of severe trauma brain injuries? -- Answer ✔✔ More
extended period of unconsciousness or amnesia
4) What are possible complications of traumatic brain injuries? -- Answer ✔✔
Headaches, pupillary changes, possible seizure disorder, DI, SIADH, CSW, seizures,
herniation, brain death
5) What are the two pathways in which traumatic brain injuries occur? -- Answer ✔✔
Primary injury is injury resulting directly from the initial event. Secondary injury is
injury resulting from complications AFTER the initial event.
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NUR 2016: TRAUMA TEST 2 QUESTIONS WITH COMPLETE

SOLUTIONS

  1. What is a traumatic brain injury? -- Answer ✔✔ When force is applied to the skull and results in direct brain injury. Can be mild, moderate, or severe.
  2. What are the symptoms of mild trauma brain injuries? -- Answer ✔✔ Brief change in LOC with return to baseline
  3. What are the symptoms of severe trauma brain injuries? -- Answer ✔✔ More extended period of unconsciousness or amnesia
  4. What are possible complications of traumatic brain injuries? -- Answer ✔✔ Headaches, pupillary changes, possible seizure disorder, DI, SIADH, CSW, seizures, herniation, brain death
  5. What are the two pathways in which traumatic brain injuries occur? -- Answer ✔✔ Primary injury is injury resulting directly from the initial event. Secondary injury is injury resulting from complications AFTER the initial event.
  1. Are the following examples of primary or secondary brain injuries? Ischemia, inflammation, and cerebral swelling. -- Answer ✔✔ Secondary
  2. What is the relationship between traumatic brain injury (TBU) and glucose regulation? -- Answer ✔✔ TBI can disrupt glucose metabolism which can disrupt the brains ability to recover as glucose is the main energy source for the brain.
  3. What is the relationship between traumatic brain injury and hyperthermia/hypothermia? -- Answer ✔✔ TBI can disrupt the body's ability to regulate body temperature if there is damage to the hypothalamus— the part of the brain responsible for temperature regulation.
  4. What is the primary nursing intervention for a patient who has just had a traumatic brain injury? -- Answer ✔✔ Preventing a secondary brain injury
  5. How can the nurse help prevent secondary brain injuries? -- Answer ✔✔ Minimize stimulation—turn off lights, low volume, cluster care, minimize touch, medicate to decrease fever, pain, and seizure activity. Position in high fowlers. Supplemental oxygen.
  6. Why should stimulation be minimized in traumatic brain injury patients? -- Answer ✔✔ So their ICP does not increase.
  7. What is a normal ICP? -- Answer ✔✔ 5 - 15 mmHg
  8. To prevent a secondary brain injury, our goal is to keep the ICP below ___. -- Answer ✔✔ 20
  1. What is a tension pneumothorax? -- Answer ✔✔ Air continually enters the pleural space and cannot exit. This causes compression of the thoracic structures. Can be a complication of both open or closed pneumos.
  2. What does tracheal deviation indicate? -- Answer ✔✔ Tension pneumothorax. Trachea will deviate towards the "good" lung
  3. What is the intervention for a tension pneumothorax? -- Answer ✔✔ Needle decompression at the second intercostal space midcalvicular line