Nursing Anatomy Case Study
Instructions: Address each question below as it relates to the case study given.
A patient was brought to the Emergency Department by ambulance with two arrow wounds. One arrow is still in the
patient on the left side; entering anteriorly between the 7th and 8th ribs in a 15 degree angle, the arrow head
protruding posteriorly. The second wound is located in the posterior cervical triangle.
Answer the following questions using a minimum of five (5) academic references (you many not use Wikipedia, blogs, or
other informal sources.) Use APA format in-text citations in your answers and include a reference page.
Question 1
What serosal cavities have been penetrated by the first arrow?
Explain the location, the microscopic cellular components of the serous membrane, and the purpose of
the serous membrane.
Question 2
Describe the Autonomic Nervous System and explain how the patient’s ANS reacts to the arrow attack
and how it will affect the patient’s vital signs (P, BP, R, T).
Question 3
Describe the trajectory of the first arrow using directional terms and anatomical planes.
Identify and describe the organs and any other membranes that may have been affected by the first
arrow.
Question 4
Describe the cardiovascular system and explain how both the pulmonary and systemic circuits will be
affected by both arrows.
Include the effect on the Hematocrit and Hemoglobin values.
Question 5
Identify the possible neuromuscular effects of the second arrow and explain your reasoning.
Describe the components of a neuromuscular junction including key organelles.
Question 6
Identify and describe the three labeled tissue types found in the tracheal slide (Slide 2) below. Include
the subcategories and cellular components for each tissue type.
How will the injuries affect this area?
Previous answers to this question
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