Crucial Exams

BCEN CFRN Practice Question

A flight nurse is transporting a 45-year-old male with a severe traumatic brain injury. Mid-flight, the patient's GCS drops from 9T to 6T, his heart rate decreases to 50 bpm, his blood pressure rises to 190/110 mmHg, and his right pupil becomes fixed and dilated. When providing an updated SBAR report to the receiving trauma center, which statement best represents the 'Assessment' portion?

  • Just as a reminder, this patient was found at the bottom of a 20-foot ladder and was intubated on scene by the ground crew.

  • My assessment is that the patient is actively herniating based on the new onset of Cushing's triad and a unilateral blown pupil.

  • I recommend having the neurosurgery team present for our arrival and preparing for immediate administration of hyperosmolar therapy.

  • This is Flight-Comm with an updated report on our TBI patient. Our new estimated time of arrival is 10 minutes.

BCEN CFRN
General Principles of Flight Transport Nursing Practice
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