NR 341 EXAM 2 (FINAL) STUDY
GUIDE LATEST UPDATE VERIFIED
QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
Priority of assessment in trauma clients - Answer: ABCDEFGHI
· Alertness and Airway
· Breathing
· Circulation
· Disability (neuro check)
· Exposure and Environmental Control (get them naked and
search)
· Facilitate Adjuncts (vitals) and Family Presence
· Get Resuscitation Adjuncts (LMNOP)
o Labs, Monitor ECG, NG tube, Oxygenation/ventilation, Pain
assessment
· History and Head-to-Toe Assessment
· Inspect Posterior Surfaces
,Interpreting central venous pressure (CVP) readings - Answer: ·
2-8 mmHg
· Same as Right Arterial Pressure
· Used to measure systemic and Pulmonary BP
· It is the right ventricular preload or right ventricular end-
diastolic pressure
· Pressure monitoring needs to be referenced and zero balanced
by the nearest stopcock (when patient changes position) and
placed at the phlebostatic axis
Priority of assessments and management for Burns - Answer:
Small thermal burns (10% or less of TBSA) should be covered
with a clean, cool, tap water-dampened towel for the patient's
comfort and protection until medical care is available. Cooling of
the injured area (if small) within 1-minute helps minimize the
depth of the injury
If the burn is large (greater than 10% TBSA) or an electrical or
inhalation burn is suspected and the patient is unresponsive,
first focus your attention on CAB: - Answer: o Circulation: Check
for presence of pulses and elevate the burned limb(s) above the
heart to decrease pain and swelling.
, o Airway: Check for patency, soot around nares and on the
tongue, singed nasal hair, darkened oral or nasal membranes.
o Breathing: Check for adequacy of ventilation.
Preventing hypothermia in bruns - Answer: cool large burns for
no more than 10 minutes. Do not immerse the burned body part
in cool water because it may cause extensive heat loss.
Never cover a burn with ice, since this can cause hypothermia
and vasoconstriction of blood vessels, thus further reducing
blood flow to the injury.
Gently remove as much burned clothing as possible to prevent
further tissue damage. Leave adherent clothing in place until the
patient is transferred to a hospital.
Wrap the patient in a dry, clean sheet or blanket to prevent
further contamination of the wound and to provide warmth.
Chemical burns are best treated by - Answer: ·Quickly removing
GUIDE LATEST UPDATE VERIFIED
QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
Priority of assessment in trauma clients - Answer: ABCDEFGHI
· Alertness and Airway
· Breathing
· Circulation
· Disability (neuro check)
· Exposure and Environmental Control (get them naked and
search)
· Facilitate Adjuncts (vitals) and Family Presence
· Get Resuscitation Adjuncts (LMNOP)
o Labs, Monitor ECG, NG tube, Oxygenation/ventilation, Pain
assessment
· History and Head-to-Toe Assessment
· Inspect Posterior Surfaces
,Interpreting central venous pressure (CVP) readings - Answer: ·
2-8 mmHg
· Same as Right Arterial Pressure
· Used to measure systemic and Pulmonary BP
· It is the right ventricular preload or right ventricular end-
diastolic pressure
· Pressure monitoring needs to be referenced and zero balanced
by the nearest stopcock (when patient changes position) and
placed at the phlebostatic axis
Priority of assessments and management for Burns - Answer:
Small thermal burns (10% or less of TBSA) should be covered
with a clean, cool, tap water-dampened towel for the patient's
comfort and protection until medical care is available. Cooling of
the injured area (if small) within 1-minute helps minimize the
depth of the injury
If the burn is large (greater than 10% TBSA) or an electrical or
inhalation burn is suspected and the patient is unresponsive,
first focus your attention on CAB: - Answer: o Circulation: Check
for presence of pulses and elevate the burned limb(s) above the
heart to decrease pain and swelling.
, o Airway: Check for patency, soot around nares and on the
tongue, singed nasal hair, darkened oral or nasal membranes.
o Breathing: Check for adequacy of ventilation.
Preventing hypothermia in bruns - Answer: cool large burns for
no more than 10 minutes. Do not immerse the burned body part
in cool water because it may cause extensive heat loss.
Never cover a burn with ice, since this can cause hypothermia
and vasoconstriction of blood vessels, thus further reducing
blood flow to the injury.
Gently remove as much burned clothing as possible to prevent
further tissue damage. Leave adherent clothing in place until the
patient is transferred to a hospital.
Wrap the patient in a dry, clean sheet or blanket to prevent
further contamination of the wound and to provide warmth.
Chemical burns are best treated by - Answer: ·Quickly removing
