A patient comes into the emergency department after gunshot wounds to the lower left lateral chest. A chest tube has been placed and the patient is transferred to the intensive care unit. While a handoff report is being conducted, the patient’s heart rate increases to 134 beats per minute and the patient begins breathing at 43 breaths per minute. The nurse notes that the chest tube drainage system is beginning to rapidly fill with blood. The team begins to prepare for autotransfusion. Which of the following would be a contraindication to autotranfusion?
Which of the following is the 1986 federal law that requires anyone coming into an emergency department to be stabilized and treated, regardless of his or her insurance status or ability to pay?
The receiving level 1 trauma center receives a patient from a lower level trauma center. When reviewing the transfer documentation and medical records, it is obvious that the benefits of transferring the patient have been misrepresented. This is a violating which of the following?
A 19-year-old woman was diving into a pool when she hit her head on the bottom of the pool. After radiographic studies were performed, the x-ray revealed a cervical injury from C4 to C7 as a burst pattern of injury. What would be the suspected mechanism of injury for this patient?
An 84-year-old patient is in the intensive care unit (ICU) on a ventilator following a multisystem trauma. The physician has discussed a do not resuscitate (DNR) order with the family. The wife states the patient would not want to live like this but the son is adamant that everything should be done and would not discuss a DNR. Which of the following would be the most appropriate intervention by the nurse?
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