Exam Questions and Correct
Answers | New Update
A patient with orthopedic trauma complains of severe unrelenting pain in
the affected extremity not relieved by analgesics. What is the nurse most
concerned about? - ANSWER ✔✔Compartment syndrome
Why is an ORIF done instead of letting a hip heal over time? -
ANSWER ✔✔Prevent complications and early ambulation
Hypovolemia in burns is caused by - ANSWER ✔✔Capillary bed
leakage
A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland
(Baxter) formula for fluid replacement how many cc/hr should the nurse
,administer in the first 8 hours? [TBSA burned x Wt (kg) x 4mL]
___________ - ANSWER ✔✔The Parkland Formula is for the first 24
hours. To determine the 8-hour, you need to divide the results by 2.
68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the
next 16 hours. That works out to 850 cc/hr for the first 8 hours.
T/F
Nurses should discourage use of any alternative or complementary
therapy. - ANSWER ✔✔False (allow holistic care)
The cause of organ failure and cellular dysfunction in shock is: -
ANSWER ✔✔Inadequate cellular perfusion
Would you use vasopressor (dopamine) in cardiogenic shock? -
ANSWER ✔✔Yes. Vasoconstriction to increase BP
Would you use inotropic agent (dobutamine) in cardiogenic shock? -
ANSWER ✔✔Yes. Increase force of myocardial contraction to
increase CO
Would you use IV rate of 500 cc/hr decreased ability to pump blood in
cardiogenic shock? - ANSWER ✔✔No. There is a decreased ability
to pump blood
, A pt arrives in the ED after an accident. What is the first thing you
assess? - ANSWER ✔✔Airway
What is MODS? - ANSWER ✔✔Multiple organ dysfunction syndrome
(failure of 2 or more organ systems)
Does anaphylactic shock cause symptoms due to increased peripheral
resistance? - ANSWER ✔✔No. Massive vasodilation, release of
mediators, increased capillary permeability
Why is PEEP used in a patient with ARDS? - ANSWER ✔✔To
prevent alveolar collapse by keeping lungs expanded during expiration
The most common cause of death in patients recovering from acute
renal failure is? - ANSWER ✔✔Infection
What type of headache may be accompanied by nausea, vomiting and
irritability? - ANSWER ✔✔Migraine
What symptoms would you expect to observe in a client with a
suspected diagnosis of Parkinson's Disease? - ANSWER
✔✔Bradykinesia, rigidity, tremors
Which of the following nursing diagnoses are included in the plan of care
in the patient with ALS?
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